| 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 |
6,904 |
6,448 |
$442K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
659 |
656 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,850 |
3,650 |
$48K |
| 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 |
433 |
433 |
$33K |
| 90671 |
|
664 |
664 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
889 |
889 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
803 |
803 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,192 |
1,192 |
$11K |
| 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 |
87 |
67 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
337 |
337 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,665 |
1,660 |
$6K |
| 83655 |
|
675 |
667 |
$5K |
| 90480 |
|
221 |
221 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,668 |
1,668 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
211 |
210 |
$4K |
| 81025 |
|
731 |
714 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
750 |
745 |
$2K |
| 85018 |
|
458 |
457 |
$1K |
| 92551 |
|
862 |
861 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
62 |
44 |
$704.20 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
482 |
481 |
$602.11 |
| 99381 |
|
40 |
40 |
$508.18 |
| 99000 |
|
51 |
51 |
$444.50 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
74 |
74 |
$391.59 |
| 90473 |
|
177 |
177 |
$343.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$325.36 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$241.17 |
| 90651 |
|
28 |
28 |
$229.34 |
| 87210 |
|
137 |
134 |
$179.23 |
| 81003 |
|
26 |
26 |
$152.90 |
| 99383 |
|
14 |
14 |
$91.46 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
52 |
$82.26 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
141 |
135 |
$78.01 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$14.62 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
639 |
637 |
$0.00 |
| 90647 |
|
602 |
602 |
$0.00 |
| 90723 |
|
628 |
628 |
$0.00 |
| 36416 |
|
461 |
454 |
$0.00 |
| 94760 |
|
39 |
39 |
$0.00 |
| 90656 |
|
83 |
83 |
$0.00 |
| 90716 |
|
247 |
247 |
$0.00 |
| 91318 |
|
44 |
44 |
$0.00 |
| 90700 |
|
55 |
55 |
$0.00 |
| 90633 |
|
428 |
428 |
$0.00 |
| 90681 |
|
153 |
153 |
$0.00 |
| 90672 |
|
30 |
30 |
$0.00 |
| 91321 |
|
36 |
36 |
$0.00 |
| 90707 |
|
233 |
233 |
$0.00 |
| 90670 |
|
39 |
39 |
$0.00 |