| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
179 |
85 |
$9K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
220 |
112 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
55 |
33 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35 |
12 |
$939.44 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
17 |
14 |
$697.53 |