| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
415 |
330 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
408 |
316 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
506 |
382 |
$4K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
48 |
48 |
$893.20 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
17 |
$404.32 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
24 |
$88.67 |
| T1015 |
Clinic visit/encounter, all-inclusive |
56 |
26 |
$0.00 |