| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,205 |
1,109 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
796 |
750 |
$45K |
| 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 |
157 |
144 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
326 |
300 |
$9K |
| 80305 |
|
228 |
216 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| T1017 |
Targeted case management, each 15 minutes |
34 |
31 |
$945.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$871.40 |
| T1015 |
Clinic visit/encounter, all-inclusive |
58 |
54 |
$865.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
29 |
$210.60 |
| 36415 |
Collection of venous blood by venipuncture |
21 |
12 |
$85.19 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$67.03 |