| 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 |
25,612 |
22,040 |
$1.08M |
| 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 |
8,618 |
4,140 |
$330K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,311 |
12,695 |
$318K |
| 90837 |
Psychotherapy, 53 minutes with patient |
5,866 |
2,812 |
$241K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,136 |
7,549 |
$236K |
| 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 |
1,349 |
1,331 |
$84K |
| 90832 |
Psychotherapy, 30 minutes with patient |
780 |
634 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
245 |
243 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,335 |
2,305 |
$13K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
206 |
203 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
204 |
204 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
141 |
140 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
293 |
292 |
$6K |
| 90686 |
|
945 |
938 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
177 |
141 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
524 |
521 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
53 |
$2K |
| 90632 |
|
69 |
68 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
53 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
273 |
265 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
102 |
101 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
161 |
154 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
205 |
205 |
$971.63 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$873.63 |
| 0064A |
|
35 |
35 |
$834.80 |
| 90746 |
|
28 |
28 |
$688.00 |
| 91322 |
|
12 |
12 |
$575.00 |
| 90656 |
|
32 |
32 |
$427.05 |
| 0012A |
|
17 |
17 |
$405.85 |
| 0134A |
|
17 |
17 |
$374.06 |
| 0004A |
|
13 |
13 |
$299.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
38 |
$274.20 |
| 90480 |
|
12 |
12 |
$269.98 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$75.48 |
| 93000 |
|
24 |
24 |
$67.36 |
| 86580 |
|
15 |
14 |
$27.36 |
| 3078F |
|
1,031 |
993 |
$0.00 |
| 1159F |
|
1,465 |
1,389 |
$0.00 |
| 3077F |
|
41 |
41 |
$0.00 |
| 90863 |
|
16 |
16 |
$0.00 |
| 99173 |
|
29 |
29 |
$0.00 |
| 91313 |
|
18 |
18 |
$0.00 |
| 91300 |
|
18 |
18 |
$0.00 |
| 3079F |
|
315 |
310 |
$0.00 |
| 91307 |
|
13 |
12 |
$0.00 |
| 2001F |
|
1,459 |
1,380 |
$0.00 |
| 2000F |
|
1,488 |
1,410 |
$0.00 |
| 1034F |
|
211 |
208 |
$0.00 |
| 3008F |
|
1,244 |
1,191 |
$0.00 |
| 3074F |
|
1,137 |
1,092 |
$0.00 |
| 2010F |
|
1,512 |
1,429 |
$0.00 |
| 4000F |
|
81 |
81 |
$0.00 |
| 91301 |
|
304 |
301 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
281 |
277 |
$0.00 |
| 1036F |
|
649 |
635 |
$0.00 |
| 3075F |
|
83 |
83 |
$0.00 |
| 91306 |
|
37 |
37 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |
| 1035F |
|
19 |
18 |
$0.00 |