| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,347 |
2,158 |
$250K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,294 |
2,968 |
$229K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
27 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
38 |
$2K |
| 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 |
30 |
28 |
$813.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
60 |
59 |
$701.20 |
| G9920 |
Screening performed and negative |
192 |
175 |
$0.00 |
| 3074F |
|
65 |
57 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |