| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
535 |
423 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
310 |
263 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
152 |
124 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
155 |
114 |
$7K |
| 99215 |
Prolong outpt/office vis |
43 |
32 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
26 |
$557.34 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
26 |
$410.08 |