| 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 |
7,976 |
7,122 |
$576K |
| 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 |
1,628 |
726 |
$126K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,717 |
5,150 |
$16K |
| 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 |
33 |
18 |
$3K |
| 99000 |
|
284 |
275 |
$2K |
| 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 |
33 |
32 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
677 |
326 |
$2K |
| 0001A |
|
43 |
43 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
176 |
173 |
$1K |
| 0002A |
|
32 |
32 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
143 |
141 |
$695.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
833 |
807 |
$625.21 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
784 |
743 |
$573.84 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
232 |
223 |
$336.41 |
| 90686 |
|
326 |
318 |
$270.43 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
14 |
$231.82 |
| 90651 |
|
39 |
35 |
$229.34 |
| 87428 |
|
140 |
129 |
$226.24 |
| 90632 |
|
25 |
25 |
$178.93 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
122 |
72 |
$54.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
70 |
$49.72 |
| 81003 |
|
231 |
219 |
$29.41 |
| 3725F |
|
1,504 |
1,428 |
$0.00 |
| 3077F |
|
39 |
39 |
$0.00 |
| 3078F |
|
936 |
879 |
$0.00 |
| 91300 |
|
102 |
100 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$0.00 |
| 99173 |
|
127 |
127 |
$0.00 |
| 90734 |
|
42 |
42 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 3079F |
|
342 |
331 |
$0.00 |
| 3074F |
|
1,160 |
1,076 |
$0.00 |
| 3075F |
|
75 |
74 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$0.00 |
| 3008F |
|
72 |
72 |
$0.00 |