| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,297 |
4,261 |
$715K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,084 |
872 |
$149K |
| 99215 |
Prolong outpt/office vis |
333 |
284 |
$24K |
| 94250 |
|
84 |
75 |
$3K |
| 0124A |
|
12 |
12 |
$679.47 |
| 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 |
111 |
79 |
$296.37 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
108 |
100 |
$221.72 |
| 99000 |
|
304 |
258 |
$0.00 |
| 36416 |
|
110 |
87 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
298 |
255 |
$0.00 |
| 90686 |
|
47 |
45 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
24 |
$0.00 |
| 90688 |
|
35 |
35 |
$0.00 |
| 99406 |
|
87 |
76 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
48 |
$0.00 |
| 82962 |
|
18 |
12 |
$0.00 |