| Code | Description | Claims | Beneficiaries | Total Paid |
| 90837 |
Psychotherapy, 53 minutes with patient |
245 |
115 |
$19K |
| 90791 |
Psychiatric diagnostic evaluation |
101 |
101 |
$10K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
39 |
39 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
105 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
42 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55 |
52 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
190 |
99 |
$3K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
97 |
55 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$109.80 |