| 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 |
5,142 |
4,655 |
$253K |
| 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 |
3,763 |
3,714 |
$195K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,224 |
2,994 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
442 |
440 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
295 |
292 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
511 |
495 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,835 |
1,823 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
930 |
925 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
302 |
291 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
570 |
522 |
$4K |
| 92551 |
|
990 |
988 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
81 |
80 |
$2K |
| 90686 |
|
586 |
582 |
$1K |
| 96160 |
|
113 |
113 |
$764.74 |
| 36415 |
Collection of venous blood by venipuncture |
659 |
648 |
$725.86 |
| 0012A |
|
20 |
20 |
$645.52 |
| 90632 |
|
12 |
12 |
$405.45 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
78 |
73 |
$255.00 |
| 90656 |
|
38 |
38 |
$245.85 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
13 |
$207.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
39 |
$164.28 |
| 90473 |
|
13 |
13 |
$12.00 |
| G9002 |
Coordinated care fee, maintenance rate |
17 |
12 |
$0.05 |
| 1220F |
|
1,211 |
1,192 |
$0.00 |
| 3074F |
|
3,377 |
3,199 |
$0.00 |
| 1000F |
|
944 |
924 |
$0.00 |
| 1036F |
|
611 |
594 |
$0.00 |
| 1034F |
|
44 |
44 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 3079F |
|
583 |
568 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
275 |
274 |
$0.00 |
| 91301 |
|
19 |
19 |
$0.00 |
| 1126F |
|
381 |
378 |
$0.00 |
| 1125F |
|
318 |
301 |
$0.00 |
| 3080F |
|
42 |
40 |
$0.00 |
| 90698 |
|
15 |
15 |
$0.00 |
| 1123F |
|
83 |
83 |
$0.00 |
| 1170F |
|
36 |
36 |
$0.00 |
| 3075F |
|
62 |
59 |
$0.00 |
| 1159F |
|
3,599 |
3,328 |
$0.00 |
| 3078F |
|
2,934 |
2,779 |
$0.00 |
| 1158F |
|
234 |
234 |
$0.00 |
| 90670 |
|
178 |
178 |
$0.00 |
| 4551F |
|
398 |
397 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90648 |
|
27 |
27 |
$0.00 |
| 1160F |
|
130 |
129 |
$0.00 |
| 3077F |
|
59 |
56 |
$0.00 |
| 90633 |
|
26 |
26 |
$0.00 |
| G9920 |
Screening performed and negative |
50 |
50 |
$0.00 |
| 98966 |
|
17 |
13 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |