| 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 |
5,655 |
5,255 |
$329K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,471 |
3,291 |
$5K |
| 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 |
51 |
50 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,496 |
1,439 |
$2K |
| 90746 |
|
332 |
331 |
$2K |
| 90632 |
|
312 |
311 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
666 |
659 |
$413.00 |
| 90686 |
|
152 |
152 |
$228.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
303 |
301 |
$210.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
41 |
$108.63 |
| 90715 |
|
82 |
82 |
$94.19 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$81.34 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
147 |
147 |
$27.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
12 |
$26.36 |
| 98966 |
|
75 |
62 |
$0.09 |
| 3725F |
|
222 |
211 |
$0.00 |
| 3077F |
|
185 |
181 |
$0.00 |
| 3078F |
|
262 |
256 |
$0.00 |
| 3008F |
|
278 |
272 |
$0.00 |
| 3075F |
|
82 |
79 |
$0.00 |
| 3074F |
|
394 |
379 |
$0.00 |
| 3079F |
|
175 |
171 |
$0.00 |
| 3080F |
|
180 |
176 |
$0.00 |