| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
157 |
154 |
$25K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
348 |
313 |
$17K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
482 |
457 |
$12K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
87 |
81 |
$7K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
374 |
332 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108 |
106 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |