| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,010 |
915 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
316 |
251 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
97 |
93 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$902.56 |
| 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 |
323 |
265 |
$571.51 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
81 |
81 |
$200.00 |
| 3044F |
|
120 |
114 |
$20.00 |
| 3074F |
|
877 |
826 |
$0.00 |
| 1126F |
|
388 |
375 |
$0.00 |
| 4000F |
|
18 |
18 |
$0.00 |
| 2000F |
|
1,200 |
1,127 |
$0.00 |
| 2001F |
|
1,189 |
1,116 |
$0.00 |
| 1000F |
|
1,345 |
1,170 |
$0.00 |
| 3008F |
|
1,376 |
1,195 |
$0.00 |
| 1220F |
|
975 |
925 |
$0.00 |
| 3079F |
|
209 |
204 |
$0.00 |
| 3075F |
|
140 |
136 |
$0.00 |
| 1125F |
|
435 |
408 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
58 |
58 |
$0.00 |
| 1160F |
|
897 |
845 |
$0.00 |
| 1159F |
|
891 |
840 |
$0.00 |
| 3078F |
|
843 |
797 |
$0.00 |
| 4004F |
|
24 |
12 |
$0.00 |
| 3077F |
|
16 |
16 |
$0.00 |