| Code | Description | Claims | Bene. Records | Total Paid |
| 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 |
884 |
244 |
$158K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,940 |
1,591 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,432 |
1,571 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
202 |
184 |
$12K |
| T1015 |
Clinic visit/encounter, all-inclusive |
37 |
27 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15 |
15 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
21 |
19 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
155 |
149 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
15 |
15 |
$599.63 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
15 |
12 |
$351.90 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
56 |
55 |
$350.92 |
| 82962 |
|
125 |
113 |
$239.23 |