| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,108 |
1,708 |
$261K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
258 |
243 |
$22K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
134 |
117 |
$22K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
137 |
65 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
42 |
18 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
12 |
$924.24 |