| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
3,693 |
2,724 |
$198K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,875 |
1,670 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
872 |
786 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
639 |
603 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
206 |
148 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
812 |
764 |
$4K |
| 90686 |
|
578 |
485 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
27 |
$2K |
| 3074F |
|
883 |
793 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
15 |
$793.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
95 |
62 |
$720.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17 |
13 |
$648.60 |
| 90832 |
Psychotherapy, 30 minutes with patient |
14 |
12 |
$464.56 |
| 86703 |
|
30 |
27 |
$158.95 |
| 3078F |
|
707 |
640 |
$150.00 |
| 90656 |
|
45 |
43 |
$103.05 |
| 92551 |
|
49 |
49 |
$62.88 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$33.05 |
| 1160F |
|
1,342 |
1,191 |
$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) |
93 |
87 |
$0.00 |
| 99173 |
|
62 |
62 |
$0.00 |
| 3028F |
|
1,684 |
1,483 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
910 |
744 |
$0.00 |
| 3725F |
|
753 |
666 |
$0.00 |
| 1159F |
|
1,342 |
1,191 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
132 |
126 |
$0.00 |
| 4274F |
|
44 |
42 |
$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) |
39 |
36 |
$0.00 |
| 90662 |
|
31 |
15 |
$0.00 |
| 2001F |
|
777 |
675 |
$0.00 |
| 2000F |
|
1,246 |
1,116 |
$0.00 |
| 3008F |
|
1,403 |
1,248 |
$0.00 |
| 4037F |
|
44 |
42 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
638 |
564 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
40 |
19 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
367 |
118 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |