| 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 |
5,673 |
5,063 |
$423K |
| 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 |
1,922 |
977 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,810 |
3,368 |
$6K |
| 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 |
21 |
16 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
581 |
579 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
136 |
131 |
$791.92 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
137 |
134 |
$638.74 |
| 87428 |
|
85 |
85 |
$515.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
704 |
688 |
$435.52 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
247 |
241 |
$312.26 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
432 |
417 |
$191.09 |
| 90651 |
|
57 |
57 |
$172.08 |
| 90621 |
|
24 |
24 |
$140.84 |
| 99000 |
|
13 |
13 |
$134.19 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
67 |
$108.63 |
| 90837 |
Psychotherapy, 53 minutes with patient |
91 |
40 |
$86.57 |
| 90686 |
|
141 |
136 |
$39.03 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
24 |
$26.36 |
| 81003 |
|
108 |
103 |
$13.51 |
| G9002 |
Coordinated care fee, maintenance rate |
14 |
14 |
$0.04 |
| 98968 |
|
20 |
14 |
$0.03 |
| 3074F |
|
596 |
553 |
$0.00 |
| 3008F |
|
93 |
93 |
$0.00 |
| 3725F |
|
849 |
822 |
$0.00 |
| 3078F |
|
594 |
552 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
174 |
106 |
$0.00 |
| 99173 |
|
209 |
208 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90734 |
|
19 |
19 |
$0.00 |