| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
562 |
461 |
$14K |
| 99215 |
Prolong outpt/office vis |
166 |
124 |
$6K |
| 99205 |
Prolong outpt/office vis |
42 |
36 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
17 |
$747.40 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
35 |
$645.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
21 |
12 |
$371.63 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$56.64 |