| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,703 |
1,084 |
$182K |
| 99215 |
Prolong outpt/office vis |
269 |
134 |
$40K |
| 99350 |
Prolong home eval add 15m |
1,167 |
1,000 |
$26K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,369 |
1,058 |
$21K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
205 |
196 |
$17K |
| 99349 |
|
328 |
276 |
$8K |
| 99310 |
Prolong nursin fac eval 15m |
97 |
80 |
$3K |
| 90686 |
|
40 |
29 |
$536.86 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$496.45 |
| 99337 |
|
33 |
29 |
$0.00 |
| 99336 |
|
14 |
14 |
$0.00 |