| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
397 |
97 |
$60K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
488 |
117 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
106 |
101 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
50 |
50 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
47 |
47 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
15 |
$830.00 |