| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,816 |
4,295 |
$308K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,641 |
2,894 |
$64.95 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
26 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
25 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,696 |
1,011 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
189 |
105 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,175 |
587 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
645 |
351 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
356 |
168 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
33 |
29 |
$0.00 |