| 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 |
14,969 |
13,179 |
$873K |
| 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 |
2,769 |
1,749 |
$171K |
| 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 |
790 |
780 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,560 |
6,903 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,639 |
4,388 |
$34K |
| 90834 |
Psychotherapy, 45 minutes with patient |
737 |
413 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,151 |
2,097 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
614 |
557 |
$3K |
| 90636 |
|
144 |
143 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
884 |
837 |
$3K |
| 99406 |
|
1,366 |
1,303 |
$3K |
| 90686 |
|
726 |
718 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
193 |
193 |
$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 |
39 |
29 |
$1K |
| 90715 |
|
156 |
155 |
$1K |
| 99215 |
Prolong outpt/office vis |
142 |
141 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
144 |
143 |
$891.04 |
| 90837 |
Psychotherapy, 53 minutes with patient |
81 |
64 |
$883.30 |
| 90656 |
|
40 |
40 |
$692.85 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
333 |
329 |
$635.90 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
39 |
$569.38 |
| 96156 |
|
108 |
106 |
$503.36 |
| 90658 |
|
100 |
96 |
$408.29 |
| 82962 |
|
907 |
867 |
$405.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
221 |
206 |
$389.42 |
| 90670 |
|
14 |
14 |
$240.00 |
| 90746 |
|
18 |
16 |
$195.36 |
| 0064A |
|
13 |
13 |
$162.00 |
| 96152 |
|
105 |
87 |
$155.91 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
73 |
69 |
$141.68 |
| 96160 |
|
187 |
182 |
$109.98 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
27 |
$45.87 |
| 4037F |
|
64 |
63 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
49 |
48 |
$0.00 |
| 3008F |
|
260 |
242 |
$0.00 |
| 90732 |
|
13 |
13 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
12 |
12 |
$0.00 |