| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,412 |
6,602 |
$816K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,307 |
3,126 |
$68K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
321 |
235 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
663 |
572 |
$359.55 |
| 90686 |
|
16 |
16 |
$258.34 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
39 |
34 |
$0.00 |