| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,829 |
3,576 |
$615K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,777 |
1,305 |
$534.27 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
393 |
341 |
$285.87 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
654 |
635 |
$102.60 |
| 86703 |
|
34 |
34 |
$0.00 |
| 81025 |
|
13 |
13 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
32 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
52 |
51 |
$0.00 |
| 3008F |
|
15 |
14 |
$0.00 |
| 96127 |
|
13 |
13 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |