| 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 |
3,100 |
2,642 |
$145K |
| 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 |
1,244 |
1,181 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,964 |
1,775 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
673 |
661 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
335 |
323 |
$4K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
51 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
89 |
89 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
245 |
238 |
$622.08 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
110 |
108 |
$497.00 |
| 36415 |
Collection of venous blood by venipuncture |
570 |
542 |
$481.04 |
| 99386 |
|
14 |
14 |
$348.99 |
| 86580 |
|
176 |
173 |
$345.58 |
| 99385 |
|
12 |
12 |
$298.11 |
| 81025 |
|
44 |
44 |
$128.34 |
| 99000 |
|
41 |
38 |
$77.47 |
| 99406 |
|
12 |
12 |
$53.46 |
| 3074F |
|
251 |
241 |
$0.00 |
| 3079F |
|
43 |
41 |
$0.00 |
| 3008F |
|
13 |
12 |
$0.00 |
| 3078F |
|
225 |
214 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
78 |
75 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
45 |
42 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
13 |
12 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
12 |
$0.00 |
| 3077F |
|
14 |
13 |
$0.00 |
| 90715 |
|
17 |
13 |
$0.00 |