| 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 |
19,565 |
16,253 |
$874K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,807 |
6,349 |
$282K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,039 |
4,999 |
$123K |
| 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 |
1,708 |
999 |
$107K |
| 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 |
596 |
593 |
$57K |
| 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 |
737 |
733 |
$36K |
| 99215 |
Prolong outpt/office vis |
296 |
287 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
774 |
706 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,912 |
1,889 |
$10K |
| 90686 |
|
895 |
891 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
746 |
524 |
$6K |
| 0012A |
|
97 |
97 |
$4K |
| 99417 |
Prolong home eval add 15m |
207 |
110 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
644 |
621 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
114 |
84 |
$3K |
| 0011A |
|
87 |
87 |
$2K |
| 99334 |
|
726 |
324 |
$2K |
| 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 |
25 |
25 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
371 |
267 |
$1K |
| 87428 |
|
25 |
25 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
211 |
209 |
$976.41 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$723.51 |
| 99326 |
|
59 |
58 |
$618.48 |
| 0064A |
|
15 |
15 |
$529.90 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,363 |
2,335 |
$467.89 |
| 98966 |
|
58 |
57 |
$437.78 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
47 |
$420.14 |
| 90656 |
|
17 |
17 |
$379.95 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$150.81 |
| 96127 |
|
42 |
41 |
$116.22 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$112.00 |
| 99335 |
|
165 |
112 |
$106.18 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
261 |
259 |
$103.60 |
| 99348 |
|
15 |
12 |
$93.90 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
213 |
212 |
$91.72 |
| 3078F |
|
1,579 |
1,490 |
$0.00 |
| 90746 |
|
79 |
75 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
30 |
30 |
$0.00 |
| 99336 |
|
28 |
22 |
$0.00 |
| 3079F |
|
370 |
360 |
$0.00 |
| 3074F |
|
1,696 |
1,591 |
$0.00 |
| 1126F |
|
135 |
133 |
$0.00 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
1,087 |
1,086 |
$0.00 |
| 3075F |
|
204 |
200 |
$0.00 |
| 90632 |
|
90 |
88 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
57 |
57 |
$0.00 |
| 91301 |
|
195 |
195 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
36 |
31 |
$0.00 |
| 91306 |
|
15 |
15 |
$0.00 |