| Code | Description | Claims | Bene. Records | Total Paid |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,709 |
1,578 |
$267K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,930 |
1,756 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,699 |
1,561 |
$103K |
| 99215 |
Prolong outpt/office vis |
172 |
160 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
178 |
177 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
20 |
12 |
$643.00 |