| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
3,071 |
620 |
$184K |
| 99223 |
Prolong inpt eval add15 m |
352 |
331 |
$42K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
921 |
215 |
$41K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
209 |
200 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
118 |
102 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$559.23 |