| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,845 |
5,642 |
$605K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
68 |
62 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,548 |
1,357 |
$575.85 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14 |
14 |
$567.56 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
792 |
669 |
$476.84 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
35 |
24 |
$99.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |