| 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 |
13,721 |
10,997 |
$2.01M |
| 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 |
1,900 |
1,303 |
$265K |
| 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 |
892 |
749 |
$163K |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
874 |
740 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,354 |
2,011 |
$822.13 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,638 |
2,216 |
$209.17 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
88 |
$115.50 |
| 90698 |
|
225 |
188 |
$44.24 |
| 90670 |
|
442 |
377 |
$30.25 |
| 90633 |
|
226 |
186 |
$30.13 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
577 |
515 |
$29.29 |
| 90710 |
|
101 |
77 |
$22.07 |
| 81002 |
|
1,058 |
750 |
$8.53 |
| 86580 |
|
40 |
40 |
$5.17 |
| 82962 |
|
544 |
470 |
$3.26 |
| 90686 |
|
380 |
318 |
$0.53 |
| 99177 |
|
1,496 |
1,210 |
$0.48 |
| 99401 |
|
208 |
172 |
$0.30 |
| 81025 |
|
51 |
44 |
$0.11 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,204 |
1,733 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
929 |
795 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
292 |
219 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
66 |
48 |
$0.00 |
| 90461 |
|
1,198 |
934 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
676 |
576 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
25 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
66 |
57 |
$0.00 |
| 99173 |
|
13 |
12 |
$0.00 |
| 90681 |
|
95 |
89 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
21 |
15 |
$0.00 |
| 90658 |
|
15 |
15 |
$0.00 |
| 99442 |
|
15 |
14 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
819 |
577 |
$0.00 |
| 90697 |
|
137 |
123 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
490 |
401 |
$0.00 |
| 97802 |
|
709 |
583 |
$0.00 |
| 1000F |
|
18 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
256 |
213 |
$0.00 |
| 91301 |
|
43 |
43 |
$0.00 |
| 99383 |
|
18 |
12 |
$0.00 |
| 0012A |
|
24 |
24 |
$0.00 |