| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,682 |
1,510 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
71 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
115 |
112 |
$621.02 |
| 82962 |
|
347 |
322 |
$475.72 |
| 1000F |
|
285 |
252 |
$0.00 |
| 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 |
238 |
194 |
$0.00 |
| 1036F |
|
122 |
98 |
$0.00 |
| 3074F |
|
62 |
56 |
$0.00 |
| 3078F |
|
27 |
26 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
96 |
92 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
17 |
17 |
$0.00 |