| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
388 |
356 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
468 |
444 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
128 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
50 |
50 |
$3K |
| 81002 |
|
13 |
12 |
$45.86 |
| 1090F |
|
76 |
69 |
$0.00 |
| 3078F |
|
56 |
55 |
$0.00 |
| 99401 |
|
102 |
99 |
$0.00 |
| 3008F |
|
127 |
119 |
$0.00 |
| 3074F |
|
63 |
60 |
$0.00 |
| 1101F |
|
61 |
55 |
$0.00 |
| 1126F |
|
14 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
12 |
$0.00 |