| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,849 |
4,259 |
$634K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,602 |
2,746 |
$52K |
| 81002 |
|
3,737 |
1,427 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,203 |
660 |
$15K |
| 81025 |
|
679 |
275 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
273 |
59 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$644.95 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
108 |
16 |
$207.68 |
| 99000 |
|
1,663 |
336 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
407 |
130 |
$0.00 |
| 59430 |
|
207 |
29 |
$0.00 |