| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,108 |
3,122 |
$622K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,572 |
2,492 |
$123K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,672 |
1,561 |
$114K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,132 |
770 |
$16K |
| 80305 |
|
5,104 |
2,993 |
$6K |
| 99215 |
Prolong outpt/office vis |
91 |
70 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
55 |
$3K |
| 81025 |
|
611 |
366 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
13 |
$50.81 |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
12 |
12 |
$0.00 |
| 96160 |
|
12 |
12 |
$0.00 |
| Q9992 |
Injection, buprenorphine extended-release (sublocade), greater than 100 mg |
98 |
89 |
$0.00 |