| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,887 |
3,458 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
614 |
543 |
$14K |
| 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 |
470 |
377 |
$667.62 |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
16 |
13 |
$627.00 |
| 1000F |
|
744 |
620 |
$0.00 |
| 3074F |
|
290 |
250 |
$0.00 |
| 1036F |
|
62 |
50 |
$0.00 |
| 4037F |
|
16 |
13 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
563 |
466 |
$0.00 |
| 3078F |
|
234 |
200 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
62 |
52 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
140 |
121 |
$0.00 |