| 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 |
6,587 |
5,792 |
$417K |
| 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 |
400 |
396 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,992 |
2,785 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,351 |
2,158 |
$7K |
| 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 |
16 |
14 |
$861.41 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
386 |
370 |
$647.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
276 |
264 |
$350.93 |
| 99441 |
|
105 |
103 |
$345.12 |
| 99385 |
|
14 |
14 |
$198.74 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$162.68 |
| 99406 |
|
69 |
67 |
$134.16 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$120.84 |
| 90658 |
|
40 |
39 |
$116.36 |
| 90686 |
|
95 |
94 |
$111.52 |
| 96160 |
|
90 |
87 |
$52.32 |
| 90715 |
|
14 |
14 |
$30.95 |
| 81002 |
|
29 |
29 |
$9.90 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25 |
25 |
$8.04 |
| 3008F |
|
495 |
452 |
$0.00 |
| 82962 |
|
15 |
12 |
$0.00 |
| 4000F |
|
14 |
14 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
13 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
16 |
$0.00 |