| Code | Description | Claims | Beneficiaries | Total Paid |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
478 |
434 |
$56K |
| S9485 |
Crisis intervention mental health services, per diem |
150 |
62 |
$20K |
| 90791 |
Psychiatric diagnostic evaluation |
194 |
186 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
487 |
297 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
106 |
93 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
38 |
$1K |
| 80305 |
|
107 |
89 |
$1K |