| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,584 |
1,271 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
229 |
176 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
25 |
$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 |
161 |
127 |
$33.63 |
| 82962 |
|
322 |
228 |
$24.31 |
| 1000F |
|
168 |
162 |
$1.94 |
| 2001F |
|
689 |
623 |
$0.00 |
| 1220F |
|
580 |
535 |
$0.00 |
| 2010F |
|
1,661 |
1,463 |
$0.00 |
| 2000F |
|
538 |
494 |
$0.00 |
| 3351F |
|
29 |
28 |
$0.00 |
| 3008F |
|
732 |
666 |
$0.00 |
| 3074F |
|
248 |
230 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
36 |
25 |
$0.00 |
| 1036F |
|
271 |
252 |
$0.00 |
| 4010F |
|
77 |
70 |
$0.00 |
| 3354F |
|
17 |
13 |
$0.00 |
| 1125F |
|
37 |
36 |
$0.00 |
| 3079F |
|
28 |
28 |
$0.00 |
| 1159F |
|
1,951 |
1,748 |
$0.00 |
| 1160F |
|
1,948 |
1,745 |
$0.00 |
| 3078F |
|
181 |
167 |
$0.00 |
| 81003 |
|
44 |
43 |
$0.00 |