| Code | Description | Claims | Beneficiaries | Total Paid |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
608 |
251 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
298 |
162 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
404 |
186 |
$30K |
| 99215 |
Prolong outpt/office vis |
152 |
71 |
$23K |
| 99205 |
Prolong outpt/office vis |
35 |
32 |
$8K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
392 |
186 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
18 |
$2K |
| 99417 |
Prolong home eval add 15m |
19 |
13 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
15 |
12 |
$590.04 |