| 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 |
16,788 |
14,617 |
$1.10M |
| 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 |
2,004 |
1,335 |
$161K |
| 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 |
1,449 |
1,410 |
$93K |
| 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 |
752 |
726 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,273 |
8,229 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,718 |
4,445 |
$23K |
| 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 |
98 |
87 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
656 |
645 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,051 |
1,009 |
$3K |
| 0012A |
|
83 |
83 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
335 |
320 |
$3K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,085 |
965 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
341 |
333 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,814 |
1,756 |
$2K |
| 0011A |
|
92 |
92 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
323 |
302 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
4,089 |
3,842 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
311 |
295 |
$1K |
| 0004A |
|
48 |
46 |
$1K |
| 0031A |
|
43 |
43 |
$1K |
| 90686 |
|
527 |
516 |
$562.24 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
71 |
$493.16 |
| 90688 |
|
199 |
189 |
$481.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
132 |
123 |
$414.36 |
| 90715 |
|
71 |
66 |
$392.20 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
154 |
147 |
$367.40 |
| 90832 |
Psychotherapy, 30 minutes with patient |
144 |
127 |
$332.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
254 |
241 |
$295.95 |
| 96127 |
|
734 |
697 |
$286.96 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
163 |
160 |
$274.00 |
| 90632 |
|
26 |
25 |
$235.84 |
| 99000 |
|
40 |
40 |
$196.05 |
| 81025 |
|
146 |
140 |
$185.38 |
| 83655 |
|
51 |
51 |
$185.03 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$183.44 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
68 |
55 |
$150.64 |
| 96160 |
|
149 |
147 |
$145.68 |
| 81002 |
|
290 |
285 |
$143.37 |
| 90674 |
|
15 |
14 |
$108.00 |
| 90756 |
|
229 |
223 |
$108.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$85.18 |
| 85018 |
|
182 |
178 |
$75.48 |
| 92551 |
|
13 |
13 |
$6.54 |
| 82962 |
|
12 |
12 |
$5.42 |
| 91301 |
|
180 |
176 |
$0.00 |
| 90698 |
|
39 |
39 |
$0.00 |
| 91303 |
|
43 |
43 |
$0.00 |
| 36416 |
|
129 |
124 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
39 |
39 |
$0.00 |
| 99173 |
|
85 |
83 |
$0.00 |
| 90670 |
|
110 |
106 |
$0.00 |
| 90461 |
|
489 |
482 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| 91300 |
|
41 |
41 |
$0.00 |