| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,476 |
4,065 |
$265K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,558 |
2,988 |
$153K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
371 |
348 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
436 |
379 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
224 |
206 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
98 |
94 |
$9K |
| 0031A |
|
42 |
36 |
$1K |
| 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 |
45 |
25 |
$208.02 |
| 1126F |
|
4,298 |
3,943 |
$84.25 |
| 3074F |
|
3,553 |
3,221 |
$40.31 |
| 91303 |
|
20 |
14 |
$40.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$40.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
24 |
$38.26 |
| 36415 |
Collection of venous blood by venipuncture |
1,921 |
1,861 |
$17.46 |
| 3016F |
|
3,244 |
3,004 |
$14.17 |
| 81002 |
|
16 |
14 |
$2.09 |
| 1158F |
|
3,055 |
2,832 |
$0.04 |
| 1125F |
|
1,053 |
986 |
$0.03 |
| 3077F |
|
305 |
279 |
$0.02 |
| 1220F |
|
5,981 |
5,243 |
$0.01 |
| 1000F |
|
6,781 |
5,862 |
$0.00 |
| 1036F |
|
5,043 |
4,364 |
$0.00 |
| 1034F |
|
1,540 |
1,378 |
$0.00 |
| 3079F |
|
1,370 |
1,206 |
$0.00 |
| 36416 |
|
84 |
71 |
$0.00 |
| 3075F |
|
503 |
465 |
$0.00 |
| 3044F |
|
288 |
281 |
$0.00 |
| 1111F |
|
68 |
48 |
$0.00 |
| 3080F |
|
149 |
128 |
$0.00 |
| 1170F |
|
15 |
15 |
$0.00 |
| 3078F |
|
3,189 |
2,853 |
$0.00 |
| 1159F |
|
5,366 |
4,885 |
$0.00 |
| 3288F |
|
895 |
849 |
$0.00 |
| 1160F |
|
46 |
44 |
$0.00 |