| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
851 |
476 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
347 |
178 |
$420.98 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
147 |
74 |
$59.70 |
| 81003 |
|
38 |
25 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
12 |
$0.00 |
| 97802 |
|
341 |
154 |
$0.00 |
| 96127 |
|
13 |
12 |
$0.00 |
| 85018 |
|
17 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
30 |
$0.00 |
| 90619 |
|
28 |
14 |
$0.00 |