| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
448 |
305 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
294 |
206 |
$7K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
54 |
54 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
28 |
28 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
12 |
$224.70 |