| 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 |
62,320 |
54,599 |
$2.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,043 |
23,409 |
$854K |
| 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 |
15,986 |
8,905 |
$600K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,470 |
20,515 |
$562K |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,939 |
4,214 |
$299K |
| 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 |
4,346 |
4,324 |
$230K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,881 |
1,879 |
$120K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,699 |
3,564 |
$119K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,110 |
2,109 |
$106K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,894 |
1,888 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,116 |
1,116 |
$61K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,415 |
1,411 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,891 |
1,825 |
$55K |
| 90791 |
Psychiatric diagnostic evaluation |
895 |
889 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,891 |
2,741 |
$47K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,156 |
1,691 |
$47K |
| 99215 |
Prolong outpt/office vis |
787 |
748 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,960 |
2,935 |
$37K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
493 |
492 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
602 |
602 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,141 |
1,139 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,974 |
2,955 |
$23K |
| 99000 |
|
1,426 |
1,342 |
$18K |
| 90686 |
|
2,466 |
2,462 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,810 |
955 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,415 |
2,414 |
$13K |
| 0011A |
|
366 |
366 |
$12K |
| 80305 |
|
1,841 |
1,505 |
$11K |
| 0012A |
|
302 |
302 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
666 |
648 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
798 |
792 |
$10K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
190 |
188 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
833 |
824 |
$9K |
| 91322 |
|
86 |
86 |
$9K |
| 87634 |
|
247 |
239 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,234 |
1,098 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
289 |
286 |
$7K |
| D0190 |
|
693 |
692 |
$7K |
| 0064A |
|
180 |
178 |
$6K |
| 90677 |
|
283 |
283 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
259 |
251 |
$5K |
| 0001A |
|
149 |
149 |
$5K |
| 0002A |
|
136 |
135 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
260 |
254 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
642 |
632 |
$5K |
| 0134A |
|
150 |
147 |
$5K |
| 92587 |
|
648 |
645 |
$4K |
| 90674 |
|
193 |
192 |
$4K |
| 90656 |
|
333 |
333 |
$3K |
| 83655 |
|
434 |
428 |
$3K |
| 0071A |
|
68 |
67 |
$2K |
| 90651 |
|
215 |
215 |
$2K |
| 0072A |
|
54 |
54 |
$2K |
| 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 |
45 |
45 |
$2K |
| 99188 |
|
528 |
528 |
$2K |
| 81002 |
|
1,114 |
1,084 |
$2K |
| 0003A |
|
44 |
44 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
67 |
$1K |
| 99383 |
|
25 |
25 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
82 |
81 |
$968.84 |
| 0013A |
|
26 |
26 |
$870.55 |
| 36416 |
|
437 |
431 |
$805.00 |
| 90694 |
|
45 |
45 |
$770.00 |
| 87807 |
|
114 |
111 |
$651.00 |
| 90715 |
|
49 |
49 |
$609.18 |
| 99384 |
|
16 |
16 |
$602.74 |
| 84703 |
|
149 |
149 |
$593.41 |
| 96127 |
|
637 |
387 |
$551.30 |
| 0124A |
|
15 |
15 |
$487.89 |
| 85018 |
|
455 |
452 |
$431.20 |
| 90480 |
|
16 |
16 |
$322.00 |
| 81025 |
|
44 |
43 |
$135.47 |
| 99177 |
|
135 |
134 |
$99.20 |
| 81003 |
|
25 |
24 |
$29.92 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
132 |
83 |
$19.45 |
| 90461 |
|
1,657 |
1,653 |
$0.00 |
| 90670 |
|
836 |
836 |
$0.00 |
| 90681 |
|
295 |
295 |
$0.00 |
| 3077F |
|
307 |
295 |
$0.00 |
| 90710 |
|
99 |
97 |
$0.00 |
| 90633 |
|
573 |
573 |
$0.00 |
| 91300 |
|
145 |
133 |
$0.00 |
| 3045F |
|
13 |
13 |
$0.00 |
| 3078F |
|
133 |
131 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| 91321 |
|
13 |
13 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90647 |
|
712 |
710 |
$0.00 |
| 90723 |
|
381 |
381 |
$0.00 |
| 3074F |
|
276 |
272 |
$0.00 |
| 3079F |
|
401 |
396 |
$0.00 |
| 90698 |
|
96 |
96 |
$0.00 |
| 3080F |
|
219 |
211 |
$0.00 |
| 91307 |
|
32 |
32 |
$0.00 |
| 3044F |
|
62 |
62 |
$0.00 |
| 3075F |
|
178 |
178 |
$0.00 |
| 91301 |
|
448 |
435 |
$0.00 |
| 91306 |
|
28 |
28 |
$0.00 |
| 1111F |
|
749 |
705 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
77 |
76 |
$0.00 |
| 90696 |
|
27 |
27 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |