| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
422 |
367 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
136 |
128 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109 |
98 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
160 |
151 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
87 |
70 |
$0.00 |
| 80305 |
|
16 |
16 |
$0.00 |