| 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 |
29,307 |
25,723 |
$10.90M |
| 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 |
18,137 |
10,209 |
$7.01M |
| 90837 |
Psychotherapy, 53 minutes with patient |
10,613 |
6,406 |
$164K |
| 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 |
404 |
403 |
$116K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,213 |
7,844 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,797 |
10,231 |
$91K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,370 |
3,069 |
$49K |
| 99215 |
Prolong outpt/office vis |
1,143 |
1,120 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,529 |
3,318 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
513 |
512 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,571 |
3,549 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,416 |
1,415 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,243 |
1,043 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
427 |
426 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
130 |
115 |
$4K |
| 90686 |
|
930 |
927 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
138 |
138 |
$2K |
| 91320 |
|
24 |
24 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
450 |
449 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,478 |
1,455 |
$1K |
| 90480 |
|
36 |
36 |
$843.68 |
| 87428 |
|
72 |
72 |
$717.36 |
| 90651 |
|
29 |
29 |
$688.02 |
| 90682 |
|
27 |
27 |
$612.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
29 |
29 |
$608.00 |
| 90688 |
|
382 |
377 |
$485.32 |
| 90656 |
|
17 |
17 |
$368.20 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$325.36 |
| 96158 |
|
34 |
25 |
$289.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
188 |
175 |
$192.73 |
| 90715 |
|
44 |
44 |
$185.79 |
| G0008 |
Administration of influenza virus vaccine |
71 |
70 |
$110.08 |
| 81002 |
|
27 |
27 |
$40.32 |
| 90647 |
|
26 |
26 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
54 |
$0.00 |
| 90670 |
|
66 |
66 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$0.00 |
| 90672 |
|
17 |
17 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$0.00 |