| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,111 |
1,052 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
126 |
118 |
$17.80 |
| 3725F |
|
40 |
40 |
$0.00 |
| 3008F |
|
951 |
916 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
173 |
169 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
453 |
446 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |