| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
11,142 |
8,058 |
$986K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,960 |
3,048 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,988 |
1,531 |
$4K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15 |
15 |
$808.20 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
23 |
13 |
$0.00 |