| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,149 |
1,858 |
$191K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,052 |
999 |
$190K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
253 |
249 |
$59K |
| 90686 |
|
41 |
41 |
$627.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$63.24 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$40.19 |
| 82962 |
|
40 |
39 |
$27.09 |
| 81003 |
|
14 |
14 |
$10.24 |
| 3008F |
|
14 |
13 |
$0.00 |
| 1160F |
|
14 |
13 |
$0.00 |