| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
4,384 |
1,583 |
$319K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,083 |
856 |
$172K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,220 |
1,026 |
$109K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
514 |
317 |
$108K |
| 99222 |
Initial hospital care, per day, moderate complexity |
608 |
582 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
104 |
85 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
53 |
28 |
$11K |