| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,074 |
3,239 |
$1.18M |
| 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 |
3,124 |
2,497 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,334 |
1,142 |
$110K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
538 |
492 |
$103K |
| 0001A |
|
59 |
58 |
$28K |
| 0002A |
|
56 |
53 |
$26K |
| 90832 |
Psychotherapy, 30 minutes with patient |
53 |
26 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
232 |
201 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
66 |
58 |
$1K |
| 90686 |
|
171 |
157 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
24 |
$936.91 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$328.84 |
| 99215 |
Prolong outpt/office vis |
131 |
116 |
$0.00 |
| 91300 |
|
192 |
172 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
102 |
97 |
$0.00 |
| 81002 |
|
13 |
12 |
$0.00 |