| 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 |
6,463 |
5,339 |
$2.62M |
| 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 |
2,302 |
1,622 |
$1.15M |
| 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 |
563 |
562 |
$189K |
| 99402 |
|
1,633 |
1,185 |
$123K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,150 |
1,947 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,297 |
2,972 |
$32K |
| D0120 |
Periodic oral evaluation - established patient |
226 |
224 |
$24K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,138 |
806 |
$20K |
| D1110 |
Prophylaxis - adult |
52 |
52 |
$9K |
| 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 |
23 |
16 |
$8K |
| 99215 |
Prolong outpt/office vis |
209 |
192 |
$8K |
| D1120 |
Prophylaxis - child |
134 |
134 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
14 |
12 |
$6K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
48 |
24 |
$4K |
| D1206 |
Topical application of fluoride varnish |
133 |
131 |
$2K |
| 0012A |
|
74 |
74 |
$2K |
| 0064A |
|
39 |
39 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
127 |
95 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
293 |
288 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
93 |
78 |
$1K |
| 0031A |
|
28 |
28 |
$1K |
| 0011A |
|
65 |
65 |
$987.80 |
| 90791 |
Psychiatric diagnostic evaluation |
28 |
28 |
$963.08 |
| 36415 |
Collection of venous blood by venipuncture |
349 |
339 |
$584.12 |
| 90480 |
|
12 |
12 |
$479.76 |
| 90686 |
|
81 |
81 |
$465.20 |
| 99000 |
|
39 |
37 |
$360.64 |
| 96127 |
|
286 |
270 |
$242.76 |
| D1208 |
Topical application of fluoride, excluding varnish |
43 |
43 |
$218.15 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
38 |
24 |
$177.43 |
| 90832 |
Psychotherapy, 30 minutes with patient |
16 |
14 |
$48.09 |
| 90656 |
|
12 |
12 |
$22.35 |
| 1159F |
|
495 |
414 |
$0.00 |
| 3078F |
|
142 |
121 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
28 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$0.00 |
| 91306 |
|
39 |
39 |
$0.00 |
| 1125F |
|
162 |
134 |
$0.00 |
| 1126F |
|
82 |
65 |
$0.00 |
| 91303 |
|
12 |
12 |
$0.00 |
| 3074F |
|
226 |
189 |
$0.00 |
| 91301 |
|
156 |
147 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
91 |
76 |
$0.00 |
| 3079F |
|
16 |
13 |
$0.00 |