| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,867 |
7,810 |
$708K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,272 |
3,755 |
$245K |
| 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 |
4,714 |
4,122 |
$127K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
676 |
600 |
$5K |
| 99383 |
|
13 |
13 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 99188 |
|
45 |
45 |
$958.51 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
16 |
16 |
$239.33 |
| G0008 |
Administration of influenza virus vaccine |
98 |
96 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |