| 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 |
23,807 |
21,264 |
$1.52M |
| 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 |
2,444 |
1,806 |
$159K |
| 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 |
1,481 |
1,431 |
$104K |
| 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 |
1,128 |
1,084 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,922 |
11,649 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,225 |
6,890 |
$50K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,451 |
1,076 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,190 |
1,151 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
8,479 |
7,858 |
$4K |
| 0001A |
|
150 |
150 |
$4K |
| 0002A |
|
119 |
119 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
957 |
904 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,749 |
1,667 |
$3K |
| 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 |
42 |
40 |
$3K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
710 |
587 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
590 |
558 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
182 |
173 |
$2K |
| 90651 |
|
20 |
16 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
101 |
96 |
$2K |
| 90686 |
|
677 |
661 |
$2K |
| 0012A |
|
42 |
42 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
651 |
622 |
$1K |
| 0004A |
|
58 |
57 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
191 |
181 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
98 |
93 |
$1K |
| 0011A |
|
43 |
43 |
$1K |
| 90674 |
|
154 |
143 |
$980.03 |
| 81025 |
|
734 |
684 |
$781.87 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
44 |
$675.29 |
| 0054A |
|
40 |
40 |
$600.48 |
| 90656 |
|
33 |
33 |
$536.40 |
| 0124A |
|
26 |
26 |
$531.46 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
137 |
132 |
$494.65 |
| 0031A |
|
29 |
29 |
$492.05 |
| 81002 |
|
1,023 |
934 |
$480.76 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
122 |
117 |
$449.45 |
| 0052A |
|
13 |
13 |
$413.47 |
| 90715 |
|
118 |
115 |
$403.97 |
| 92551 |
|
311 |
297 |
$395.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
155 |
146 |
$394.85 |
| 96127 |
|
517 |
479 |
$386.58 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
62 |
62 |
$385.11 |
| 96160 |
|
352 |
327 |
$359.90 |
| 83655 |
|
128 |
124 |
$340.87 |
| 90632 |
|
32 |
30 |
$337.19 |
| 90688 |
|
102 |
101 |
$311.56 |
| 90480 |
|
29 |
29 |
$279.86 |
| 0003A |
|
13 |
13 |
$264.95 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
48 |
$241.17 |
| 90756 |
|
88 |
80 |
$221.60 |
| 90670 |
|
78 |
78 |
$205.11 |
| 82948 |
|
201 |
179 |
$65.34 |
| 85018 |
|
121 |
121 |
$50.96 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
81 |
66 |
$50.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$42.59 |
| 93000 |
|
12 |
12 |
$28.53 |
| 82962 |
|
85 |
81 |
$24.39 |
| 36416 |
|
189 |
182 |
$14.12 |
| 3079F |
|
646 |
635 |
$0.00 |
| 3080F |
|
377 |
360 |
$0.00 |
| 3074F |
|
712 |
700 |
$0.00 |
| 3075F |
|
382 |
377 |
$0.00 |
| 91305 |
|
110 |
110 |
$0.00 |
| 91303 |
|
29 |
29 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 91301 |
|
90 |
90 |
$0.00 |
| 3077F |
|
598 |
576 |
$0.00 |
| 3078F |
|
645 |
633 |
$0.00 |
| 90461 |
|
510 |
485 |
$0.00 |
| 99173 |
|
216 |
205 |
$0.00 |
| 91300 |
|
297 |
275 |
$0.00 |
| 91322 |
|
28 |
28 |
$0.00 |
| 0502F |
|
49 |
26 |
$0.00 |
| 91312 |
|
14 |
14 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |