| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,769 |
1,665 |
$189K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
383 |
315 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
784 |
465 |
$43K |
| 99215 |
Prolong outpt/office vis |
106 |
92 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$389.40 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
27 |
19 |
$344.40 |