| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
204 |
185 |
$6K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
172 |
156 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
37 |
34 |
$5K |
| Q3014 |
Telehealth originating site facility fee |
308 |
261 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
57 |
49 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
52 |
19 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
19 |
15 |
$1K |