| Code | Description | Claims | Beneficiaries | Total Paid |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
294 |
271 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
570 |
549 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
46 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
30 |
30 |
$899.19 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
54 |
39 |
$643.55 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
51 |
27 |
$475.89 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$224.87 |