| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
835 |
781 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
441 |
436 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
531 |
511 |
$12K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
69 |
68 |
$2K |
| 87428 |
|
65 |
65 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
119 |
118 |
$2K |
| 1159F |
|
726 |
682 |
$0.00 |
| 1160F |
|
724 |
680 |
$0.00 |
| 3078F |
|
191 |
183 |
$0.00 |
| 3725F |
|
320 |
318 |
$0.00 |
| 3074F |
|
403 |
387 |
$0.00 |
| 3008F |
|
677 |
638 |
$0.00 |
| 3079F |
|
143 |
141 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
220 |
219 |
$0.00 |