| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
10,514 |
9,404 |
$888K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,431 |
4,148 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,080 |
1,910 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
50 |
50 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
16 |
14 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
14 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
93 |
93 |
$0.00 |