| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,108 |
2,976 |
$560K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
607 |
599 |
$175.00 |
| 3008F |
|
1,896 |
1,841 |
$0.00 |
| 3074F |
|
211 |
209 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,875 |
1,801 |
$0.00 |
| 3079F |
|
54 |
54 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
92 |
92 |
$0.00 |
| 3078F |
|
114 |
113 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$0.00 |