| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
952 |
915 |
$155K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,322 |
1,278 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
72 |
72 |
$4K |
| 99173 |
|
12 |
12 |
$13.20 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
359 |
347 |
$0.00 |
| 96160 |
|
14 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 3074F |
|
29 |
28 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| 90480 |
|
28 |
28 |
$0.00 |
| 90657 |
|
14 |
14 |
$0.00 |
| 92551 |
|
14 |
14 |
$0.00 |