| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,836 |
6,678 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,053 |
6,842 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
252 |
163 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
22 |
16 |
$137.77 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
13 |
$76.34 |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$57.20 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
48 |
$37.50 |
| 9213 |
|
125 |
121 |
$0.00 |