| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,320 |
3,111 |
$713K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,535 |
1,474 |
$7K |
| 90686 |
|
42 |
42 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
119 |
119 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
63 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
160 |
160 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$0.00 |