| 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 |
8,629 |
7,434 |
$641K |
| 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 |
926 |
884 |
$80K |
| 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 |
89 |
84 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,515 |
4,045 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,239 |
2,057 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
722 |
603 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
477 |
474 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
863 |
853 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,900 |
1,875 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
422 |
421 |
$1K |
| 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 |
16 |
12 |
$995.84 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
324 |
320 |
$643.12 |
| 90686 |
|
869 |
863 |
$516.85 |
| 90651 |
|
109 |
108 |
$229.34 |
| 36415 |
Collection of venous blood by venipuncture |
1,322 |
1,236 |
$218.10 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
421 |
416 |
$147.06 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$81.34 |
| 36416 |
|
976 |
937 |
$78.37 |
| D0190 |
|
85 |
85 |
$74.45 |
| 90474 |
|
174 |
171 |
$48.00 |
| 82962 |
|
467 |
440 |
$44.28 |
| 99188 |
|
85 |
85 |
$34.65 |
| 81003 |
|
202 |
194 |
$27.47 |
| 85018 |
|
166 |
163 |
$13.33 |
| 81025 |
|
13 |
13 |
$7.13 |
| 90744 |
|
26 |
26 |
$0.00 |
| 90698 |
|
86 |
86 |
$0.00 |
| 90723 |
|
48 |
47 |
$0.00 |
| 90680 |
|
171 |
169 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
15 |
$0.00 |
| 90670 |
|
409 |
405 |
$0.00 |
| 83655 |
|
50 |
50 |
$0.00 |
| 90707 |
|
24 |
24 |
$0.00 |
| 90685 |
|
112 |
112 |
$0.00 |
| 90700 |
|
36 |
36 |
$0.00 |
| 90648 |
|
202 |
199 |
$0.00 |
| 90633 |
|
98 |
98 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
37 |
$0.00 |
| 90734 |
|
38 |
38 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |