| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,547 |
3,211 |
$1.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,783 |
1,202 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
932 |
702 |
$12K |
| 3008F |
|
157 |
137 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
28 |
$2K |
| 4004F |
|
26 |
12 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
102 |
75 |
$0.00 |
| 87449 |
|
539 |
282 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
19 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
14 |
$0.00 |