| 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 |
12,991 |
11,335 |
$621K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
118 |
116 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,174 |
8,210 |
$144K |
| 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 |
1,481 |
1,468 |
$94K |
| 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 |
883 |
879 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,705 |
1,633 |
$38K |
| 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 |
443 |
365 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
738 |
731 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
290 |
290 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
965 |
928 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
304 |
303 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,315 |
1,295 |
$5K |
| 90632 |
|
98 |
97 |
$3K |
| 90688 |
|
334 |
333 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
165 |
142 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
179 |
173 |
$827.03 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
378 |
359 |
$687.93 |
| 90686 |
|
75 |
75 |
$666.09 |
| 99406 |
|
90 |
86 |
$389.58 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$320.79 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
16 |
12 |
$201.33 |
| 90656 |
|
12 |
12 |
$201.15 |
| 81025 |
|
42 |
38 |
$114.08 |
| 90715 |
|
12 |
12 |
$99.66 |
| 82962 |
|
75 |
66 |
$95.07 |
| 81002 |
|
56 |
56 |
$72.00 |
| 90658 |
|
43 |
43 |
$53.16 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$42.59 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$27.52 |
| 4000F |
|
1,366 |
1,208 |
$0.00 |
| 3008F |
|
6,097 |
5,262 |
$0.00 |
| 1036F |
|
1,762 |
1,580 |
$0.00 |
| 3079F |
|
842 |
775 |
$0.00 |
| 3075F |
|
197 |
186 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
700 |
627 |
$0.00 |
| 3074F |
|
1,793 |
1,541 |
$0.00 |
| 3044F |
|
385 |
335 |
$0.00 |
| 3048F |
|
274 |
229 |
$0.00 |
| 3049F |
|
94 |
83 |
$0.00 |
| 1126F |
|
28 |
27 |
$0.00 |
| 3080F |
|
70 |
64 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,426 |
2,154 |
$0.00 |
| 3078F |
|
1,226 |
1,094 |
$0.00 |
| 3077F |
|
70 |
61 |
$0.00 |
| 1032F |
|
1,401 |
1,235 |
$0.00 |
| 3725F |
|
741 |
702 |
$0.00 |
| 3050F |
|
27 |
24 |
$0.00 |
| 90687 |
|
54 |
54 |
$0.00 |
| 2028F |
|
12 |
12 |
$0.00 |
| 1160F |
|
43 |
42 |
$0.00 |
| 1159F |
|
42 |
41 |
$0.00 |