| 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 |
6,885 |
6,172 |
$500K |
| 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 |
1,686 |
795 |
$127K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,720 |
4,249 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
753 |
749 |
$4K |
| 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 |
42 |
21 |
$3K |
| 99000 |
|
110 |
107 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
910 |
882 |
$753.45 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
394 |
386 |
$681.01 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,017 |
498 |
$661.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
923 |
891 |
$639.10 |
| 90651 |
|
236 |
230 |
$630.76 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
224 |
213 |
$521.37 |
| 87428 |
|
138 |
133 |
$375.77 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
121 |
112 |
$349.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
336 |
318 |
$243.54 |
| 90734 |
|
134 |
133 |
$122.50 |
| 81003 |
|
552 |
533 |
$91.19 |
| 83655 |
|
41 |
41 |
$22.41 |
| 90686 |
|
122 |
121 |
$19.03 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
19 |
$14.00 |
| 85018 |
|
56 |
56 |
$9.00 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
33 |
$5.40 |
| 99173 |
|
569 |
568 |
$0.00 |
| 90715 |
|
97 |
96 |
$0.00 |
| 90633 |
|
17 |
13 |
$0.00 |
| 3725F |
|
1,044 |
1,008 |
$0.00 |
| 3078F |
|
537 |
504 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$0.00 |
| 3074F |
|
553 |
518 |
$0.00 |
| 3008F |
|
288 |
287 |
$0.00 |
| 94010 |
|
35 |
31 |
$0.00 |
| 3079F |
|
22 |
21 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |