| 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 |
44,563 |
38,976 |
$1.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,504 |
15,978 |
$489K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,444 |
9,863 |
$445K |
| 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 |
8,607 |
8,537 |
$423K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,484 |
4,484 |
$223K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,455 |
4,352 |
$170K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,705 |
2,703 |
$131K |
| 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 |
2,662 |
1,784 |
$97K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,117 |
6,017 |
$84K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,439 |
1,439 |
$84K |
| 99215 |
Prolong outpt/office vis |
947 |
928 |
$82K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,952 |
10,846 |
$69K |
| 59426 |
|
65 |
65 |
$60K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,070 |
1,065 |
$53K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,143 |
7,110 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,952 |
2,845 |
$40K |
| 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 |
697 |
697 |
$29K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,117 |
837 |
$27K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
555 |
553 |
$27K |
| 90832 |
Psychotherapy, 30 minutes with patient |
554 |
374 |
$22K |
| 90651 |
|
662 |
658 |
$17K |
| 90686 |
|
4,795 |
4,786 |
$12K |
| 90715 |
|
891 |
890 |
$9K |
| 90473 |
|
1,488 |
1,477 |
$8K |
| 59430 |
|
53 |
52 |
$8K |
| 90480 |
|
115 |
115 |
$4K |
| 0012A |
|
108 |
108 |
$4K |
| 96160 |
|
192 |
191 |
$4K |
| 0001A |
|
93 |
92 |
$4K |
| 0011A |
|
103 |
103 |
$3K |
| 99381 |
|
52 |
52 |
$3K |
| 0002A |
|
86 |
85 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
27 |
27 |
$3K |
| 0064A |
|
81 |
81 |
$3K |
| 87428 |
|
66 |
64 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
762 |
685 |
$3K |
| 0124A |
|
47 |
47 |
$2K |
| 0134A |
|
44 |
44 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
133 |
120 |
$2K |
| 0071A |
|
29 |
29 |
$1K |
| 91322 |
|
16 |
16 |
$1K |
| 99188 |
|
511 |
511 |
$1K |
| 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 |
13 |
13 |
$930.94 |
| 90656 |
|
83 |
83 |
$804.60 |
| 80305 |
|
57 |
53 |
$542.36 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$509.76 |
| 59025 |
Fetal non-stress test |
23 |
12 |
$490.08 |
| 0072A |
|
12 |
12 |
$454.20 |
| 98960 |
|
20 |
20 |
$430.92 |
| 90707 |
|
1,391 |
1,390 |
$354.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
443 |
436 |
$334.61 |
| 81025 |
|
64 |
61 |
$306.59 |
| 90716 |
|
1,276 |
1,275 |
$265.26 |
| 92551 |
|
39 |
39 |
$262.86 |
| 90734 |
|
401 |
401 |
$257.70 |
| 98968 |
|
12 |
12 |
$235.32 |
| 87807 |
|
26 |
25 |
$227.85 |
| 98966 |
|
18 |
15 |
$149.58 |
| G0008 |
Administration of influenza virus vaccine |
30 |
30 |
$112.00 |
| 90474 |
|
16 |
16 |
$110.25 |
| 96127 |
|
17 |
17 |
$41.72 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,133 |
1,115 |
$39.42 |
| 90672 |
|
25 |
25 |
$26.88 |
| Q3014 |
Telehealth originating site facility fee |
96 |
88 |
$24.06 |
| D0190 |
|
367 |
367 |
$14.89 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$6.76 |
| 3074F |
|
5,192 |
4,971 |
$0.00 |
| 90680 |
|
2,040 |
2,036 |
$0.00 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
8,007 |
7,810 |
$0.00 |
| 3075F |
|
518 |
499 |
$0.00 |
| 90723 |
|
1,041 |
1,037 |
$0.00 |
| 90697 |
|
514 |
514 |
$0.00 |
| 3079F |
|
973 |
938 |
$0.00 |
| 91307 |
|
115 |
110 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
209 |
199 |
$0.00 |
| 90632 |
|
59 |
57 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
187 |
173 |
$0.00 |
| 90696 |
|
142 |
142 |
$0.00 |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
156 |
155 |
$0.00 |
| 90698 |
|
235 |
235 |
$0.00 |
| 91305 |
|
54 |
53 |
$0.00 |
| 91301 |
|
252 |
248 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
12 |
$0.00 |
| 3080F |
|
51 |
49 |
$0.00 |
| 1126F |
|
12 |
12 |
$0.00 |
| 90620 |
|
50 |
50 |
$0.00 |
| 91306 |
|
45 |
45 |
$0.00 |
| 90677 |
|
27 |
27 |
$0.00 |
| 99173 |
|
1,890 |
1,890 |
$0.00 |
| 90700 |
|
342 |
342 |
$0.00 |
| 90670 |
|
2,297 |
2,293 |
$0.00 |
| 91300 |
|
181 |
158 |
$0.00 |
| 90633 |
|
1,552 |
1,552 |
$0.00 |
| 90685 |
|
404 |
400 |
$0.00 |
| 90648 |
|
1,506 |
1,502 |
$0.00 |
| 90671 |
|
728 |
728 |
$0.00 |
| 3077F |
|
284 |
274 |
$0.00 |
| 3078F |
|
4,929 |
4,743 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
58 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
15 |
$0.00 |
| 91308 |
|
25 |
25 |
$0.00 |
| 91312 |
|
17 |
17 |
$0.00 |
| 91313 |
|
30 |
30 |
$0.00 |
| 91321 |
|
13 |
13 |
$0.00 |