| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,635 |
12,690 |
$1.30M |
| 99215 |
Prolong outpt/office vis |
1,813 |
1,397 |
$184K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,858 |
1,569 |
$123K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,484 |
584 |
$113K |
| 99205 |
Prolong outpt/office vis |
676 |
640 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
322 |
285 |
$20K |
| 96127 |
|
3,053 |
2,663 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
46 |
46 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
19 |
12 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
15 |
$1K |
| G8484 |
Influenza immunization was not administered, reason not given |
876 |
759 |
$0.00 |