| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
3,627 |
2,498 |
$216K |
| 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 |
3,191 |
2,688 |
$196K |
| 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 |
1,663 |
1,655 |
$111K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,741 |
1,345 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,240 |
1,933 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,142 |
1,137 |
$14K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,447 |
1,108 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
149 |
148 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
941 |
935 |
$1K |
| 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 |
13 |
13 |
$887.06 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
334 |
333 |
$764.62 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$246.58 |
| 81025 |
|
155 |
147 |
$244.70 |
| 90651 |
|
327 |
326 |
$229.34 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$148.58 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
19 |
$123.40 |
| 90686 |
|
154 |
154 |
$42.00 |
| 90656 |
|
30 |
30 |
$22.35 |
| 92551 |
|
22 |
22 |
$14.26 |
| 90619 |
|
80 |
80 |
$0.00 |
| 90620 |
|
46 |
46 |
$0.00 |
| 90715 |
|
41 |
41 |
$0.00 |
| 90734 |
|
108 |
108 |
$0.00 |