| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
2,584 |
2,283 |
$397K |
| H0006 |
Alcohol and/or drug services; case management |
640 |
539 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,170 |
475 |
$30K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
53 |
53 |
$20K |
| 80305 |
|
1,439 |
1,058 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
133 |
131 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
343 |
109 |
$2K |
| 99205 |
Prolong outpt/office vis |
20 |
19 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
187 |
183 |
$1K |