| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
911 |
746 |
$27K |
| 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 |
1,407 |
1,177 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
515 |
454 |
$18K |
| 3008F |
|
1,826 |
1,416 |
$3K |
| 0001F |
|
1,364 |
1,229 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$507.10 |
| 90832 |
Psychotherapy, 30 minutes with patient |
17 |
13 |
$344.20 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
14 |
13 |
$216.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$130.16 |
| 0502F |
|
18 |
12 |
$125.00 |
| 90686 |
|
16 |
13 |
$72.12 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
36 |
$50.12 |
| 99000 |
|
14 |
14 |
$11.04 |
| 92015 |
Determination of refractive state |
13 |
13 |
$0.00 |