| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,515 |
2,297 |
$366K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,903 |
1,795 |
$273K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
18 |
$3K |
| 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 |
344 |
287 |
$3K |
| 90686 |
|
78 |
74 |
$311.23 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$141.54 |
| G9919 |
Screening performed and positive and provision of recommendations |
55 |
55 |
$0.00 |
| G9920 |
Screening performed and negative |
63 |
63 |
$0.00 |
| 90651 |
|
15 |
14 |
$0.00 |
| 90688 |
|
22 |
22 |
$0.00 |