| 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 |
5,661 |
5,520 |
$397K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,712 |
3,653 |
$13K |
| 90651 |
|
54 |
54 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,335 |
1,327 |
$3K |
| 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 |
24 |
24 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,497 |
1,483 |
$1K |
| 90480 |
|
42 |
42 |
$1K |
| 90686 |
|
615 |
613 |
$867.70 |
| 0124A |
|
51 |
49 |
$654.83 |
| 90656 |
|
47 |
47 |
$605.69 |
| 99215 |
Prolong outpt/office vis |
134 |
127 |
$535.51 |
| 3074F |
|
447 |
440 |
$390.05 |
| 90734 |
|
41 |
40 |
$380.20 |
| 91320 |
|
27 |
27 |
$268.76 |
| 99406 |
|
89 |
89 |
$107.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
110 |
110 |
$47.38 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
159 |
88 |
$38.48 |
| 3078F |
|
253 |
252 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$0.00 |
| 3079F |
|
208 |
206 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |