| 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 |
35,658 |
30,497 |
$2.13M |
| 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 |
6,982 |
3,855 |
$464K |
| 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 |
1,495 |
1,454 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,352 |
14,018 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,858 |
10,723 |
$33K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
4,959 |
2,830 |
$21K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
3,100 |
2,943 |
$11K |
| G9002 |
Coordinated care fee, maintenance rate |
633 |
559 |
$10K |
| V2020 |
Frames, purchases |
278 |
277 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
881 |
796 |
$4K |
| 92015 |
Determination of refractive state |
2,151 |
2,124 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,230 |
2,206 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
585 |
574 |
$2K |
| 0012A |
|
62 |
62 |
$2K |
| 90686 |
|
1,081 |
1,071 |
$2K |
| 0011A |
|
66 |
66 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
363 |
359 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
188 |
187 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,195 |
1,185 |
$2K |
| 99215 |
Prolong outpt/office vis |
380 |
376 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
57 |
57 |
$1K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
177 |
173 |
$924.17 |
| H0031 |
Mental health assessment, by non-physician |
206 |
199 |
$912.10 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
610 |
606 |
$887.68 |
| 0031A |
|
24 |
23 |
$834.85 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
178 |
178 |
$664.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
284 |
262 |
$490.89 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
66 |
40 |
$434.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
202 |
194 |
$298.11 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
55 |
$248.48 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
126 |
120 |
$227.64 |
| 90651 |
|
26 |
26 |
$216.36 |
| 92341 |
|
64 |
60 |
$203.62 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
143 |
138 |
$200.79 |
| 90715 |
|
19 |
19 |
$142.60 |
| 81002 |
|
378 |
357 |
$132.48 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
147 |
142 |
$101.20 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$55.39 |
| 81025 |
|
13 |
13 |
$26.13 |
| 85018 |
|
25 |
24 |
$1.96 |
| G0008 |
Administration of influenza virus vaccine |
157 |
157 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
37 |
25 |
$0.00 |
| 90670 |
|
29 |
29 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
12 |
$0.00 |
| 90734 |
|
49 |
49 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
12 |
12 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| 90682 |
|
33 |
33 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |