| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,326 |
1,242 |
$177K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
52 |
52 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
86 |
85 |
$8K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
205 |
143 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
32 |
25 |
$672.50 |