| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
166 |
144 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
382 |
368 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
500 |
461 |
$15K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13 |
13 |
$819.09 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$273.08 |
| 3008F |
|
479 |
451 |
$0.00 |