| 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 |
13,671 |
11,970 |
$5.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,571 |
7,939 |
$82K |
| 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 |
139 |
139 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,597 |
1,494 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,209 |
1,133 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
56 |
$4K |
| 87428 |
|
326 |
322 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
85 |
84 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
641 |
632 |
$1K |
| 80305 |
|
189 |
153 |
$813.54 |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$461.80 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$449.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
145 |
144 |
$436.12 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$325.36 |
| 36415 |
Collection of venous blood by venipuncture |
122 |
120 |
$194.15 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
17 |
$192.00 |
| 81002 |
|
134 |
131 |
$149.76 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
81 |
66 |
$123.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
30 |
$52.44 |
| 90686 |
|
26 |
26 |
$43.04 |
| 90688 |
|
12 |
12 |
$0.00 |