| 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 |
5,817 |
5,176 |
$390K |
| 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 |
730 |
727 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,096 |
2,870 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
372 |
350 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
856 |
838 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
218 |
211 |
$1K |
| 99000 |
|
104 |
83 |
$964.67 |
| D0190 |
|
113 |
113 |
$923.18 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
358 |
350 |
$623.68 |
| 0012A |
|
29 |
29 |
$565.72 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$562.73 |
| 0011A |
|
17 |
17 |
$496.10 |
| 98960 |
|
60 |
59 |
$430.92 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
61 |
61 |
$423.22 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
244 |
239 |
$378.91 |
| 96127 |
|
1,014 |
912 |
$365.64 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
27 |
$296.73 |
| 92558 |
|
159 |
158 |
$250.51 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$244.02 |
| 81025 |
|
168 |
154 |
$235.29 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
68 |
$202.00 |
| 92551 |
|
133 |
133 |
$181.98 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$109.68 |
| 80305 |
|
12 |
12 |
$62.58 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
158 |
153 |
$0.00 |
| 86328 |
|
14 |
13 |
$0.00 |
| 99173 |
|
89 |
89 |
$0.00 |
| 3725F |
|
27 |
27 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
204 |
202 |
$0.00 |
| 82962 |
|
51 |
48 |
$0.00 |
| 87428 |
|
12 |
12 |
$0.00 |