| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,784 |
2,214 |
$314K |
| D0999 |
Unspecified diagnostic procedure, by report |
28 |
25 |
$752.24 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
120 |
89 |
$47.92 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,710 |
1,357 |
$41.53 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
61 |
$0.00 |
| 4004F |
|
104 |
55 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$0.00 |
| 81002 |
|
18 |
12 |
$0.00 |
| 3351F |
|
253 |
151 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
197 |
167 |
$0.00 |
| 3008F |
|
46 |
42 |
$0.00 |
| 1126F |
|
67 |
53 |
$0.00 |