| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90792 |
Psychiatric diagnostic evaluation with medical services |
172 |
172 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
332 |
268 |
$27K |
| 99215 |
Prolong outpt/office vis |
165 |
148 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
305 |
237 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
306 |
225 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
148 |
132 |
$9K |