| 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 |
36,860 |
30,008 |
$4.51M |
| 41899 |
Unlisted procedure, dentoalveolar structures |
12,427 |
8,825 |
$3.78M |
| 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 |
2,674 |
2,393 |
$359K |
| 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 |
240 |
144 |
$47K |
| 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 |
16 |
16 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,035 |
3,556 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,084 |
2,696 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
80 |
74 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
560 |
450 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$0.00 |
| 90686 |
|
95 |
62 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
14 |
12 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
14 |
14 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
14 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
16 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
23 |
23 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
148 |
146 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
70 |
62 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
59 |
48 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
72 |
$0.00 |
| 90662 |
|
19 |
19 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$0.00 |
| D2940 |
|
32 |
28 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
30 |
13 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
147 |
111 |
$0.00 |