| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,392 |
1,308 |
$256K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
456 |
439 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
382 |
376 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$0.00 |
| 3008F |
|
273 |
260 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
83 |
83 |
$0.00 |
| 90686 |
|
51 |
51 |
$0.00 |