| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
244 |
215 |
$29K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
70 |
69 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
48 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
40 |
40 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
18 |
15 |
$783.72 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$568.49 |