| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
233 |
110 |
$14K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
50 |
33 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
46 |
17 |
$5K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
210 |
100 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
19 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
21 |
$1K |