| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,108 |
2,736 |
$427K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,544 |
1,380 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
84 |
80 |
$68.11 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
190 |
158 |
$46.23 |
| 90686 |
|
15 |
13 |
$43.87 |
| 3074F |
|
81 |
62 |
$0.00 |
| 3008F |
|
1,475 |
1,321 |
$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 |
227 |
222 |
$0.00 |
| 96127 |
|
111 |
109 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
42 |
$0.00 |
| 99385 |
|
14 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
18 |
$0.00 |