| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,820 |
4,338 |
$339K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,291 |
1,006 |
$110K |
| 99222 |
Initial hospital care, per day, moderate complexity |
736 |
617 |
$66K |
| 99221 |
|
982 |
799 |
$63K |
| 99223 |
Prolong inpt eval add15 m |
468 |
370 |
$57K |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,786 |
3,849 |
$46K |
| 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 |
1,529 |
1,137 |
$21K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
99 |
55 |
$3K |
| 90686 |
|
181 |
147 |
$2K |
| 90656 |
|
53 |
51 |
$600.97 |
| 90662 |
|
84 |
65 |
$455.94 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
47 |
45 |
$327.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
171 |
154 |
$209.96 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
38 |
36 |
$88.60 |
| 3078F |
|
264 |
239 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
125 |
94 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
34 |
29 |
$0.00 |
| 3079F |
|
104 |
96 |
$0.00 |
| 3074F |
|
306 |
282 |
$0.00 |
| 3075F |
|
14 |
12 |
$0.00 |