| Code | Description | Claims | Beneficiaries | Total Paid |
| S0201 |
Partial hospitalization services, less than 24 hours, per diem |
2,169 |
145 |
$860K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,472 |
3,437 |
$322K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
4,756 |
3,013 |
$214K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,225 |
483 |
$120K |
| 99205 |
Prolong outpt/office vis |
72 |
57 |
$7K |
| 90785 |
|
571 |
154 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
16 |
15 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
26 |
14 |
$2K |
| 90836 |
|
23 |
16 |
$1K |