| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,493 |
1,416 |
$243K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
256 |
252 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,116 |
1,069 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
193 |
189 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
66 |
66 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |