| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
171 |
158 |
$15K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
159 |
146 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
36 |
14 |
$3K |
| 99215 |
Prolong outpt/office vis |
26 |
24 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
15 |
15 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
19 |
14 |
$991.88 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$946.53 |
| 99354 |
|
26 |
25 |
$0.00 |