| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,093 |
4,887 |
$270K |
| T1015 |
Clinic visit/encounter, all-inclusive |
10,048 |
5,708 |
$257K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,964 |
2,237 |
$179K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
285 |
137 |
$7K |
| 99406 |
|
752 |
414 |
$4K |
| 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 |
85 |
70 |
$2K |
| S9470 |
Nutritional counseling, dietitian visit |
503 |
350 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
12 |
$157.35 |
| 81025 |
|
28 |
13 |
$58.14 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
23 |
15 |
$36.40 |
| 3078F |
|
200 |
160 |
$0.00 |
| 3074F |
|
222 |
172 |
$0.00 |
| 3079F |
|
87 |
78 |
$0.00 |
| 3075F |
|
46 |
40 |
$0.00 |
| 1000F |
|
61 |
37 |
$0.00 |