| 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 |
4,094 |
3,384 |
$276K |
| 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 |
1,637 |
932 |
$110K |
| 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 |
718 |
709 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,052 |
1,834 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,289 |
1,155 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
732 |
438 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
218 |
216 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
76 |
70 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
73 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
275 |
250 |
$977.91 |
| 96127 |
|
2,034 |
1,627 |
$974.88 |
| 36415 |
Collection of venous blood by venipuncture |
1,010 |
947 |
$705.51 |
| 90480 |
|
28 |
27 |
$679.66 |
| 90791 |
Psychiatric diagnostic evaluation |
28 |
28 |
$637.28 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
152 |
91 |
$514.51 |
| 91322 |
|
25 |
25 |
$390.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
207 |
204 |
$389.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
96 |
87 |
$164.88 |
| 90656 |
|
25 |
25 |
$111.75 |
| 90686 |
|
77 |
76 |
$110.92 |
| 90832 |
Psychotherapy, 30 minutes with patient |
54 |
44 |
$100.31 |
| 92552 |
|
41 |
41 |
$67.50 |
| 96160 |
|
154 |
154 |
$31.99 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$24.12 |
| 81003 |
|
12 |
12 |
$3.74 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$0.00 |
| 3079F |
|
15 |
14 |
$0.00 |
| 96158 |
|
14 |
12 |
$0.00 |