| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,535 |
2,466 |
$335K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16 |
13 |
$990.72 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
13 |
$527.02 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,151 |
897 |
$246.45 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,140 |
943 |
$57.90 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
13 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
14 |
12 |
$0.00 |