| Code | Description | Claims | Beneficiaries | Total Paid |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
6,694 |
6,631 |
$382K |
| 99310 |
Prolong nursin fac eval 15m |
2,750 |
2,514 |
$149K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
4,603 |
4,114 |
$32K |
| 99306 |
Prolong nursin fac eval 15m |
140 |
140 |
$9K |
| 99215 |
Prolong outpt/office vis |
117 |
114 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$342.13 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
18 |
$163.88 |
| 99305 |
|
58 |
58 |
$57.30 |