| Code | Description | Claims | Beneficiaries | Total Paid |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
735 |
728 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
662 |
550 |
$51K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,221 |
997 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45 |
45 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
107 |
97 |
$4K |
| 99305 |
|
12 |
12 |
$2K |
| 99304 |
|
16 |
14 |
$984.82 |