| 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 |
14,801 |
12,884 |
$618K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,273 |
6,563 |
$237K |
| 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 |
4,354 |
2,802 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,106 |
3,769 |
$112K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,657 |
1,861 |
$92K |
| 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 |
286 |
285 |
$20K |
| 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 |
303 |
302 |
$15K |
| 90837 |
Psychotherapy, 53 minutes with patient |
621 |
440 |
$10K |
| 87428 |
|
126 |
121 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
106 |
104 |
$5K |
| 99215 |
Prolong outpt/office vis |
51 |
50 |
$4K |
| 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 |
55 |
42 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
643 |
636 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
166 |
161 |
$4K |
| 90686 |
|
256 |
255 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
55 |
40 |
$1K |
| 0012A |
|
26 |
26 |
$961.86 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
40 |
$594.96 |
| 90656 |
|
22 |
22 |
$469.35 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
940 |
916 |
$388.50 |
| 0011A |
|
20 |
20 |
$340.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
39 |
$287.49 |
| 98966 |
|
33 |
30 |
$267.27 |
| 98967 |
|
14 |
13 |
$214.76 |
| 96127 |
|
63 |
63 |
$137.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
28 |
$134.64 |
| 80305 |
|
13 |
13 |
$125.16 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
723 |
718 |
$90.44 |
| 81002 |
|
13 |
12 |
$37.44 |
| 3078F |
|
1,818 |
1,673 |
$0.00 |
| 3077F |
|
103 |
99 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
89 |
89 |
$0.00 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
1,235 |
1,233 |
$0.00 |
| 3074F |
|
1,936 |
1,762 |
$0.00 |
| 3079F |
|
869 |
812 |
$0.00 |
| 3075F |
|
683 |
630 |
$0.00 |
| 1126F |
|
205 |
202 |
$0.00 |
| 1125F |
|
16 |
16 |
$0.00 |
| 91301 |
|
58 |
58 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
17 |
$0.00 |
| 3080F |
|
27 |
26 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |