| 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 |
2,945 |
2,464 |
$363K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,211 |
2,815 |
$198K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
976 |
927 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
263 |
252 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,184 |
1,116 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
108 |
105 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
103 |
98 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
374 |
373 |
$6K |
| 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 |
25 |
14 |
$5K |
| 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 |
44 |
38 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
61 |
$2K |
| 92551 |
|
106 |
105 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
12 |
$1K |
| 90686 |
|
609 |
606 |
$627.63 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
17 |
$264.18 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$135.78 |
| 99177 |
|
45 |
45 |
$0.41 |
| 90656 |
|
14 |
14 |
$0.00 |
| 3074F |
|
132 |
128 |
$0.00 |
| 2001F |
|
195 |
185 |
$0.00 |
| 3008F |
|
191 |
181 |
$0.00 |
| 2010F |
|
208 |
195 |
$0.00 |
| 2000F |
|
164 |
156 |
$0.00 |
| 1036F |
|
94 |
89 |
$0.00 |
| 4037F |
|
14 |
14 |
$0.00 |
| 99173 |
|
467 |
465 |
$0.00 |
| 1160F |
|
162 |
147 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
314 |
311 |
$0.00 |
| 1159F |
|
162 |
147 |
$0.00 |
| 90461 |
|
50 |
50 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
36 |
22 |
$0.00 |
| 4274F |
|
47 |
41 |
$0.00 |
| 3078F |
|
116 |
112 |
$0.00 |