| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,840 |
2,586 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
842 |
804 |
$44K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
102 |
54 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
334 |
304 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
195 |
185 |
$1K |
| T1017 |
Targeted case management, each 15 minutes |
48 |
31 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
156 |
152 |
$1K |
| 99443 |
|
14 |
14 |
$504.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$58.51 |
| 82962 |
|
24 |
24 |
$33.06 |