| Code | Description | Claims | Beneficiaries | Total Paid |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
92 |
89 |
$677.60 |
| 36415 |
Collection of venous blood by venipuncture |
224 |
181 |
$559.95 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
463 |
311 |
$22.02 |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
116 |
102 |
$1.16 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
697 |
641 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
226 |
211 |
$0.00 |