| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,907 |
1,956 |
$255K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
210 |
160 |
$26K |
| 99233 |
Prolong inpt eval add15 m |
527 |
238 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
144 |
92 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
252 |
96 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$707.12 |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
12 |
$462.60 |