| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,514 |
1,990 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
457 |
373 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
303 |
266 |
$933.04 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
13 |
$828.81 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
146 |
112 |
$779.69 |
| 36415 |
Collection of venous blood by venipuncture |
374 |
322 |
$631.11 |
| 90837 |
Psychotherapy, 53 minutes with patient |
19 |
12 |
$446.44 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
15 |
13 |
$237.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$100.00 |
| 96127 |
|
238 |
202 |
$1.79 |
| 2028F |
|
692 |
561 |
$0.00 |
| 3078F |
|
2,116 |
1,737 |
$0.00 |
| 3077F |
|
48 |
37 |
$0.00 |
| 1159F |
|
814 |
691 |
$0.00 |
| 1160F |
|
814 |
691 |
$0.00 |
| 3079F |
|
748 |
609 |
$0.00 |
| 1000F |
|
3,084 |
2,434 |
$0.00 |
| 2000F |
|
3,336 |
2,633 |
$0.00 |
| 3008F |
|
3,229 |
2,558 |
$0.00 |
| 4000F |
|
368 |
289 |
$0.00 |
| 3074F |
|
2,544 |
2,051 |
$0.00 |
| 2001F |
|
3,254 |
2,582 |
$0.00 |
| 3044F |
|
723 |
567 |
$0.00 |
| 1126F |
|
1,040 |
846 |
$0.00 |
| 1125F |
|
1,018 |
775 |
$0.00 |
| 1220F |
|
2,808 |
2,234 |
$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 |
219 |
178 |
$0.00 |
| 3075F |
|
200 |
161 |
$0.00 |