| 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 |
72,358 |
61,031 |
$3.83M |
| 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 |
9,174 |
6,361 |
$504K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,540 |
36,191 |
$413K |
| 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 |
3,146 |
3,130 |
$198K |
| 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 |
2,979 |
2,927 |
$188K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,461 |
11,821 |
$184K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,245 |
13,909 |
$105K |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,878 |
5,566 |
$82K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
824 |
820 |
$53K |
| 99215 |
Prolong outpt/office vis |
1,159 |
1,149 |
$26K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,079 |
1,064 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,058 |
1,046 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
958 |
947 |
$11K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,993 |
2,473 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,401 |
1,392 |
$10K |
| G0469 |
Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health 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 mental health visit |
156 |
155 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
402 |
348 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
212 |
211 |
$6K |
| 99000 |
|
871 |
845 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
522 |
504 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
151 |
123 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,160 |
1,143 |
$4K |
| 90688 |
|
653 |
633 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
241 |
238 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
280 |
279 |
$3K |
| 11721 |
|
649 |
640 |
$3K |
| 81025 |
|
1,634 |
1,609 |
$3K |
| 82962 |
|
3,261 |
3,049 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
114 |
111 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,085 |
1,017 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
57 |
48 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
130 |
128 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
150 |
135 |
$2K |
| 81002 |
|
1,955 |
1,930 |
$2K |
| 99385 |
|
123 |
123 |
$2K |
| 96156 |
|
138 |
137 |
$2K |
| 90632 |
|
63 |
62 |
$2K |
| 90651 |
|
121 |
120 |
$1K |
| 91322 |
|
13 |
13 |
$1K |
| 11055 |
|
142 |
135 |
$1K |
| 99383 |
|
54 |
54 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
221 |
219 |
$959.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
146 |
146 |
$811.96 |
| 90670 |
|
117 |
117 |
$691.55 |
| 90715 |
|
125 |
125 |
$658.82 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
129 |
129 |
$606.46 |
| 90658 |
|
44 |
44 |
$584.76 |
| 90746 |
|
25 |
24 |
$520.96 |
| 99384 |
|
13 |
13 |
$498.48 |
| 90480 |
|
16 |
16 |
$454.00 |
| 90686 |
|
96 |
95 |
$256.93 |
| 11056 |
|
26 |
24 |
$178.87 |
| 90619 |
|
17 |
17 |
$168.40 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
28 |
27 |
$160.77 |
| 90716 |
|
25 |
25 |
$136.26 |
| 90734 |
|
63 |
63 |
$128.85 |
| 90714 |
|
14 |
14 |
$100.44 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
39 |
39 |
$80.40 |
| 99442 |
|
111 |
90 |
$61.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
45 |
44 |
$59.72 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$42.59 |
| 99441 |
|
74 |
56 |
$31.68 |
| 87210 |
|
12 |
12 |
$24.10 |
| 86580 |
|
15 |
13 |
$14.65 |
| G0008 |
Administration of influenza virus vaccine |
112 |
109 |
$7.00 |
| 3044F |
|
2,021 |
1,857 |
$0.00 |
| 3008F |
|
9,052 |
8,184 |
$0.00 |
| 3074F |
|
6,729 |
6,153 |
$0.00 |
| 3048F |
|
1,140 |
1,046 |
$0.00 |
| 3080F |
|
2,640 |
2,495 |
$0.00 |
| 3049F |
|
498 |
461 |
$0.00 |
| 3075F |
|
2,451 |
2,361 |
$0.00 |
| 3079F |
|
4,447 |
4,206 |
$0.00 |
| 90697 |
|
26 |
26 |
$0.00 |
| 1036F |
|
187 |
167 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 90680 |
|
15 |
15 |
$0.00 |
| 1125F |
|
77 |
74 |
$0.00 |
| 1126F |
|
105 |
99 |
$0.00 |
| 3077F |
|
3,206 |
3,018 |
$0.00 |
| 3050F |
|
410 |
368 |
$0.00 |
| 3078F |
|
5,290 |
4,904 |
$0.00 |
| 1160F |
|
593 |
571 |
$0.00 |
| 90461 |
|
613 |
612 |
$0.00 |
| 3046F |
|
125 |
116 |
$0.00 |
| 1159F |
|
590 |
568 |
$0.00 |
| 2028F |
|
13 |
13 |
$0.00 |
| 3725F |
|
127 |
105 |
$0.00 |
| 90707 |
|
30 |
30 |
$0.00 |
| 3045F |
|
99 |
91 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
17 |
17 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |