| 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 |
44,167 |
38,593 |
$2.57M |
| 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 |
5,076 |
5,058 |
$363K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,871 |
25,183 |
$210K |
| 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 |
3,061 |
2,263 |
$184K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,968 |
4,775 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,470 |
4,228 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,993 |
1,983 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,579 |
1,568 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
852 |
847 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,028 |
1,025 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,073 |
4,020 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
446 |
445 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,901 |
1,600 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,487 |
1,457 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
502 |
371 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
817 |
723 |
$6K |
| 99383 |
|
380 |
380 |
$4K |
| 90677 |
|
395 |
395 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
973 |
955 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,447 |
1,439 |
$3K |
| 99382 |
|
211 |
211 |
$3K |
| 90651 |
|
435 |
435 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
256 |
209 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
226 |
226 |
$2K |
| 90686 |
|
1,467 |
1,463 |
$2K |
| 90658 |
|
253 |
248 |
$2K |
| 99384 |
|
131 |
130 |
$2K |
| 82962 |
|
2,058 |
1,934 |
$1K |
| 90715 |
|
381 |
380 |
$1K |
| 81002 |
|
2,257 |
2,190 |
$1K |
| 99406 |
|
362 |
349 |
$1K |
| 99215 |
Prolong outpt/office vis |
46 |
43 |
$859.36 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
193 |
193 |
$853.45 |
| 0072A |
|
44 |
44 |
$711.18 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
83 |
82 |
$677.46 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$666.39 |
| 96160 |
|
621 |
604 |
$583.32 |
| 96127 |
|
1,653 |
1,637 |
$552.64 |
| 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 |
14 |
13 |
$469.63 |
| 99381 |
|
106 |
106 |
$433.60 |
| 81025 |
|
436 |
432 |
$406.41 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
455 |
435 |
$388.19 |
| 90656 |
|
96 |
96 |
$335.25 |
| 0071A |
|
45 |
45 |
$307.46 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
15 |
13 |
$233.40 |
| 0001A |
|
21 |
21 |
$202.40 |
| 93000 |
|
124 |
120 |
$186.24 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
26 |
$174.94 |
| 90670 |
|
642 |
642 |
$160.00 |
| 0052A |
|
26 |
25 |
$136.00 |
| 81005 |
|
607 |
601 |
$132.46 |
| 96156 |
|
30 |
30 |
$125.28 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
59 |
54 |
$98.85 |
| 82044 |
|
67 |
66 |
$98.04 |
| 0002A |
|
12 |
12 |
$91.85 |
| 99441 |
|
13 |
12 |
$88.60 |
| 96150 |
|
27 |
25 |
$74.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
98 |
98 |
$74.29 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
13 |
$60.87 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$43.79 |
| 0051A |
|
18 |
18 |
$34.00 |
| 96161 |
|
402 |
394 |
$24.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
19 |
$13.71 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
39 |
39 |
$4.03 |
| 90744 |
|
289 |
288 |
$0.00 |
| 3074F |
|
80 |
77 |
$0.00 |
| 90716 |
|
300 |
300 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
92 |
86 |
$0.00 |
| 90680 |
|
229 |
229 |
$0.00 |
| 90696 |
|
156 |
156 |
$0.00 |
| 90657 |
|
121 |
121 |
$0.00 |
| 3008F |
|
621 |
573 |
$0.00 |
| 90723 |
|
345 |
345 |
$0.00 |
| 3079F |
|
61 |
59 |
$0.00 |
| 90698 |
|
395 |
395 |
$0.00 |
| 3080F |
|
46 |
44 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 3044F |
|
45 |
42 |
$0.00 |
| 4000F |
|
14 |
14 |
$0.00 |
| 99173 |
|
1,230 |
1,228 |
$0.00 |
| 90710 |
|
120 |
120 |
$0.00 |
| 90461 |
|
1,747 |
1,740 |
$0.00 |
| 90633 |
|
659 |
659 |
$0.00 |
| 90734 |
|
457 |
457 |
$0.00 |
| 90700 |
|
222 |
222 |
$0.00 |
| 3078F |
|
42 |
40 |
$0.00 |
| 3046F |
|
14 |
12 |
$0.00 |
| 90681 |
|
129 |
129 |
$0.00 |
| 90713 |
|
62 |
62 |
$0.00 |
| 90648 |
|
467 |
467 |
$0.00 |
| 3077F |
|
103 |
96 |
$0.00 |
| 90707 |
|
300 |
300 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
35 |
34 |
$0.00 |