| 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 |
28,680 |
24,947 |
$1.48M |
| 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 |
4,938 |
2,522 |
$264K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,717 |
10,894 |
$220K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,704 |
12,299 |
$198K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,081 |
1,528 |
$78K |
| 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 |
1,253 |
1,239 |
$74K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
531 |
527 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,566 |
2,550 |
$12K |
| 90686 |
|
1,120 |
1,117 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
112 |
112 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
89 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
168 |
142 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
83 |
82 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
404 |
404 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
457 |
407 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
92 |
77 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
48 |
48 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
65 |
65 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
498 |
498 |
$1K |
| 99215 |
Prolong outpt/office vis |
29 |
28 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
40 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
55 |
$1K |
| 0064A |
|
44 |
44 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
60 |
$728.66 |
| 91322 |
|
13 |
13 |
$690.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
151 |
148 |
$684.50 |
| 0134A |
|
32 |
29 |
$622.44 |
| 90656 |
|
50 |
50 |
$502.35 |
| 0012A |
|
15 |
15 |
$351.70 |
| 90715 |
|
26 |
26 |
$266.65 |
| 90480 |
|
13 |
13 |
$253.00 |
| 90632 |
|
12 |
12 |
$236.64 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$214.04 |
| 92587 |
|
28 |
27 |
$150.36 |
| 92551 |
|
56 |
56 |
$148.28 |
| 93000 |
|
56 |
56 |
$137.29 |
| 96160 |
|
25 |
25 |
$32.08 |
| 82962 |
|
13 |
13 |
$16.26 |
| 4000F |
|
818 |
785 |
$0.00 |
| 91301 |
|
298 |
293 |
$0.00 |
| 3008F |
|
1,634 |
1,557 |
$0.00 |
| 3079F |
|
489 |
482 |
$0.00 |
| 3074F |
|
1,308 |
1,253 |
$0.00 |
| 2010F |
|
1,673 |
1,593 |
$0.00 |
| 2000F |
|
1,673 |
1,593 |
$0.00 |
| 1034F |
|
606 |
581 |
$0.00 |
| 1036F |
|
990 |
950 |
$0.00 |
| 2001F |
|
1,668 |
1,588 |
$0.00 |
| 3075F |
|
186 |
184 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
52 |
51 |
$0.00 |
| 1035F |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
330 |
321 |
$0.00 |
| 3080F |
|
16 |
16 |
$0.00 |
| 3044F |
|
29 |
29 |
$0.00 |
| 91306 |
|
45 |
45 |
$0.00 |
| 3077F |
|
29 |
28 |
$0.00 |
| 3078F |
|
1,116 |
1,073 |
$0.00 |
| 99173 |
|
436 |
436 |
$0.00 |
| 1159F |
|
1,624 |
1,547 |
$0.00 |
| 91313 |
|
31 |
28 |
$0.00 |