| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,028 |
1,768 |
$85K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
113 |
111 |
$15K |
| 90837 |
Psychotherapy, 53 minutes with patient |
50 |
41 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$415.56 |