| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,266 |
2,921 |
$167K |
| 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 |
2,812 |
2,424 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
962 |
853 |
$34K |
| 3008F |
|
2,417 |
2,033 |
$4K |
| 0001F |
|
3,510 |
3,050 |
$3K |
| 90686 |
|
162 |
147 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
133 |
127 |
$902.88 |
| 0031A |
|
18 |
18 |
$425.85 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
41 |
$355.34 |
| 0011A |
|
17 |
17 |
$249.22 |
| 3074F |
|
41 |
37 |
$125.00 |
| 36415 |
Collection of venous blood by venipuncture |
138 |
121 |
$112.59 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
40 |
$93.27 |
| 99000 |
|
42 |
41 |
$29.44 |
| 36416 |
|
27 |
26 |
$7.99 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
15 |
13 |
$1.34 |
| 3079F |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
18 |
$0.00 |