| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,250 |
1,707 |
$355K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
792 |
693 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,378 |
2,144 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
182 |
152 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
202 |
157 |
$9K |
| 0004A |
|
237 |
229 |
$9K |
| 0064A |
|
221 |
221 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
610 |
416 |
$5K |
| 0034A |
|
69 |
69 |
$3K |
| 0124A |
|
25 |
25 |
$2K |
| 0001A |
|
30 |
30 |
$1K |
| 0031A |
|
29 |
29 |
$1K |
| 0002A |
|
22 |
22 |
$870.00 |
| 0054A |
|
19 |
19 |
$760.00 |
| 99000 |
|
227 |
206 |
$371.95 |
| 81025 |
|
33 |
33 |
$84.00 |
| 3074F |
|
1,344 |
1,093 |
$68.21 |
| 3077F |
|
423 |
358 |
$56.63 |
| 3075F |
|
252 |
234 |
$0.00 |
| 1036F |
|
142 |
124 |
$0.00 |
| 82962 |
|
142 |
124 |
$0.00 |
| 3008F |
|
2,307 |
1,835 |
$0.00 |
| 2001F |
|
83 |
57 |
$0.00 |
| 3079F |
|
397 |
353 |
$0.00 |
| 3080F |
|
139 |
119 |
$0.00 |
| 0001F |
|
75 |
52 |
$0.00 |
| 3078F |
|
1,507 |
1,234 |
$0.00 |