| 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 |
31,760 |
27,537 |
$2.08M |
| 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 |
11,724 |
6,095 |
$774K |
| 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 |
1,200 |
1,191 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,634 |
14,247 |
$55K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
8,761 |
4,558 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,469 |
10,513 |
$24K |
| G9002 |
Coordinated care fee, maintenance rate |
551 |
494 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
454 |
447 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,919 |
2,867 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,512 |
1,482 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
620 |
615 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
377 |
375 |
$2K |
| H0031 |
Mental health assessment, by non-physician |
363 |
343 |
$2K |
| 0012A |
|
36 |
36 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,115 |
1,099 |
$1K |
| 0031A |
|
31 |
31 |
$1K |
| 90651 |
|
151 |
150 |
$961.94 |
| 0011A |
|
39 |
39 |
$911.20 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
127 |
$845.08 |
| 90686 |
|
1,153 |
1,143 |
$768.09 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
204 |
193 |
$724.13 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
380 |
367 |
$578.41 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
267 |
260 |
$363.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
219 |
214 |
$243.07 |
| 90715 |
|
107 |
107 |
$225.73 |
| 81003 |
|
923 |
875 |
$210.77 |
| 90670 |
|
270 |
261 |
$205.11 |
| 90656 |
|
35 |
35 |
$201.15 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
175 |
169 |
$159.93 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
165 |
158 |
$119.60 |
| 90834 |
Psychotherapy, 45 minutes with patient |
396 |
239 |
$100.24 |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
27 |
$35.26 |
| 80061 |
Lipid panel |
21 |
21 |
$11.09 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$7.18 |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$0.00 |
| 90734 |
|
127 |
126 |
$0.00 |
| 90685 |
|
20 |
20 |
$0.00 |
| 90633 |
|
91 |
88 |
$0.00 |
| 90682 |
|
13 |
13 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
16 |
$0.00 |
| 90647 |
|
75 |
69 |
$0.00 |
| 90723 |
|
41 |
38 |
$0.00 |
| 90620 |
|
28 |
28 |
$0.00 |