| 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 |
20,095 |
17,919 |
$1.43M |
| 99402 |
|
4,751 |
4,343 |
$379K |
| 59426 |
|
132 |
130 |
$234K |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
2,646 |
2,582 |
$193K |
| 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 |
668 |
664 |
$77K |
| H2000 |
Comprehensive multidisciplinary evaluation |
606 |
567 |
$57K |
| 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 |
459 |
310 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,086 |
8,323 |
$25K |
| 59425 |
|
14 |
14 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,980 |
4,628 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,642 |
1,636 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,120 |
1,120 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,167 |
2,155 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,182 |
6,124 |
$8K |
| H1000 |
Prenatal care, at-risk assessment |
84 |
84 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,341 |
3,317 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,340 |
2,269 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
30 |
30 |
$2K |
| D0190 |
|
928 |
922 |
$2K |
| 90651 |
|
557 |
555 |
$2K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
14 |
14 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
119 |
79 |
$1K |
| 90686 |
|
2,445 |
2,431 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
251 |
248 |
$962.77 |
| 99188 |
|
1,017 |
1,011 |
$948.81 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
781 |
774 |
$836.84 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
236 |
222 |
$811.07 |
| 36415 |
Collection of venous blood by venipuncture |
1,569 |
1,500 |
$776.42 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
60 |
60 |
$569.38 |
| 92551 |
|
1,157 |
1,145 |
$562.44 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
802 |
791 |
$469.20 |
| 90474 |
|
1,169 |
1,168 |
$445.95 |
| 99381 |
|
140 |
139 |
$433.60 |
| 90670 |
|
1,730 |
1,726 |
$429.95 |
| 36416 |
|
2,134 |
2,058 |
$418.88 |
| 85018 |
|
758 |
751 |
$258.64 |
| 81025 |
|
277 |
267 |
$217.33 |
| 82962 |
|
548 |
536 |
$195.82 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
73 |
72 |
$179.78 |
| 90715 |
|
314 |
314 |
$129.80 |
| 96161 |
|
699 |
695 |
$123.38 |
| 69210 |
|
14 |
14 |
$106.20 |
| 81003 |
|
360 |
350 |
$100.73 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
126 |
121 |
$76.08 |
| 82044 |
|
44 |
43 |
$14.62 |
| 96127 |
|
32 |
25 |
$13.68 |
| 99406 |
|
12 |
12 |
$8.12 |
| 90662 |
|
76 |
67 |
$4.99 |
| G0008 |
Administration of influenza virus vaccine |
79 |
67 |
$0.66 |
| 90723 |
|
1,080 |
1,079 |
$0.00 |
| 90716 |
|
341 |
341 |
$0.00 |
| 90680 |
|
1,190 |
1,188 |
$0.00 |
| 90647 |
|
1,239 |
1,233 |
$0.00 |
| 90688 |
|
20 |
20 |
$0.00 |
| 90620 |
|
57 |
57 |
$0.00 |
| 90698 |
|
145 |
143 |
$0.00 |
| 90696 |
|
190 |
190 |
$0.00 |
| 90744 |
|
111 |
110 |
$0.00 |
| 90734 |
|
404 |
403 |
$0.00 |
| 90700 |
|
369 |
364 |
$0.00 |
| 90710 |
|
205 |
205 |
$0.00 |
| 90633 |
|
830 |
828 |
$0.00 |
| 90707 |
|
319 |
319 |
$0.00 |
| 90685 |
|
613 |
608 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$0.00 |