| 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 |
4,956 |
4,234 |
$250K |
| 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 |
2,097 |
1,073 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,452 |
2,271 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,844 |
1,730 |
$45K |
| 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 |
453 |
452 |
$29K |
| 90834 |
Psychotherapy, 45 minutes with patient |
618 |
430 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
942 |
767 |
$11K |
| 96127 |
|
3,605 |
3,085 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
156 |
112 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
287 |
159 |
$5K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
527 |
325 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
811 |
797 |
$3K |
| 90632 |
|
97 |
96 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
126 |
125 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
353 |
348 |
$2K |
| 90686 |
|
367 |
366 |
$2K |
| 90707 |
|
44 |
44 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$1K |
| 90746 |
|
25 |
25 |
$804.72 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
173 |
172 |
$769.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
74 |
69 |
$691.00 |
| 90791 |
Psychiatric diagnostic evaluation |
27 |
27 |
$608.56 |
| 82962 |
|
266 |
259 |
$384.82 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
30 |
$168.77 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
12 |
$124.80 |
| 98966 |
|
24 |
21 |
$117.00 |
| 36415 |
Collection of venous blood by venipuncture |
107 |
104 |
$108.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$55.20 |
| 96160 |
|
110 |
110 |
$26.29 |
| 94760 |
|
39 |
39 |
$0.00 |
| 3080F |
|
42 |
41 |
$0.00 |
| 3077F |
|
100 |
94 |
$0.00 |