| 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 |
13,730 |
11,991 |
$926K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
1,046 |
704 |
$76K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
856 |
852 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,314 |
8,499 |
$30K |
| G0469 |
Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new 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 mental health visit |
121 |
120 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,260 |
1,989 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,114 |
988 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
155 |
154 |
$1K |
| 80305 |
|
1,029 |
797 |
$928.27 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
152 |
151 |
$653.15 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
296 |
285 |
$581.57 |
| 90837 |
Psychotherapy, 53 minutes with patient |
58 |
42 |
$365.91 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
80 |
80 |
$325.26 |
| 90832 |
Psychotherapy, 30 minutes with patient |
96 |
81 |
$206.23 |
| 90791 |
Psychiatric diagnostic evaluation |
36 |
36 |
$176.92 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
63 |
63 |
$124.80 |
| 90834 |
Psychotherapy, 45 minutes with patient |
186 |
139 |
$115.69 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
97 |
97 |
$32.16 |
| 92250 |
|
12 |
12 |
$22.58 |
| 90688 |
|
28 |
28 |
$19.17 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
16 |
$12.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$7.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
13 |
12 |
$0.00 |
| 81002 |
|
15 |
15 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |