| Code | Description | Claims | Bene. Records | Total Paid |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
24 |
22 |
$338.80 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
36 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
32 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
40 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
42 |
$0.00 |