| 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 |
2,172 |
1,869 |
$1.01M |
| D0120 |
Periodic oral evaluation - established patient |
165 |
165 |
$36K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$4K |
| 0012A |
|
54 |
54 |
$2K |
| 0001A |
|
35 |
35 |
$1K |
| 0011A |
|
52 |
52 |
$829.40 |
| 0002A |
|
21 |
21 |
$794.85 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
455 |
423 |
$164.43 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
227 |
210 |
$60.62 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$51.46 |
| 36415 |
Collection of venous blood by venipuncture |
175 |
170 |
$31.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
26 |
$7.00 |
| 94760 |
|
199 |
181 |
$0.00 |
| 91301 |
|
113 |
113 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
66 |
54 |
$0.00 |
| 91300 |
|
80 |
62 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
44 |
$0.00 |