| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,459 |
1,910 |
$204K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
536 |
295 |
$59K |
| 90834 |
Psychotherapy, 45 minutes with patient |
573 |
282 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
954 |
625 |
$45K |
| 99310 |
Prolong nursin fac eval 15m |
691 |
408 |
$25K |
| 99337 |
|
158 |
99 |
$4K |
| 99356 |
|
39 |
25 |
$480.43 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$478.48 |
| 90686 |
|
26 |
14 |
$24.30 |
| 3017F |
|
35 |
35 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
24 |
12 |
$0.00 |