| 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 |
12,034 |
10,133 |
$4.06M |
| 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 |
393 |
244 |
$227K |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
600 |
593 |
$180K |
| 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 |
872 |
868 |
$168K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,418 |
8,125 |
$132K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
759 |
758 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
426 |
415 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,454 |
1,363 |
$8K |
| 92015 |
Determination of refractive state |
886 |
885 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
284 |
283 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
653 |
645 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
53 |
53 |
$3K |
| 99000 |
|
139 |
131 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
403 |
358 |
$1K |
| 90656 |
|
34 |
34 |
$603.45 |
| G0008 |
Administration of influenza virus vaccine |
225 |
224 |
$542.40 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
220 |
218 |
$540.54 |
| 90834 |
Psychotherapy, 45 minutes with patient |
17 |
14 |
$237.16 |
| 90688 |
|
12 |
12 |
$146.16 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
37 |
36 |
$94.76 |
| 90686 |
|
124 |
124 |
$64.49 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
13 |
$4.55 |
| 3078F |
|
148 |
134 |
$0.00 |
| 91300 |
|
14 |
12 |
$0.00 |
| 3008F |
|
448 |
400 |
$0.00 |
| 3074F |
|
213 |
194 |
$0.00 |
| 91307 |
|
14 |
13 |
$0.00 |
| 3079F |
|
80 |
78 |
$0.00 |