| 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 |
20,503 |
18,100 |
$990K |
| 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 |
6,267 |
4,382 |
$323K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,857 |
6,335 |
$163K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,392 |
8,691 |
$143K |
| 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 |
1,285 |
1,265 |
$77K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,665 |
2,965 |
$50K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
767 |
765 |
$31K |
| 99215 |
Prolong outpt/office vis |
855 |
806 |
$31K |
| 90651 |
|
443 |
441 |
$22K |
| 90837 |
Psychotherapy, 53 minutes with patient |
566 |
342 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,458 |
3,391 |
$15K |
| 81025 |
|
4,303 |
3,975 |
$12K |
| 90620 |
|
384 |
382 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,522 |
1,505 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
491 |
355 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
321 |
314 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
364 |
298 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
477 |
466 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
123 |
121 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
548 |
514 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,186 |
1,178 |
$4K |
| 90686 |
|
1,258 |
1,243 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,763 |
1,661 |
$3K |
| 0002A |
|
89 |
88 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
52 |
$3K |
| 0001A |
|
94 |
91 |
$3K |
| 90632 |
|
95 |
92 |
$3K |
| 96127 |
|
2,330 |
2,298 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
132 |
128 |
$2K |
| 90734 |
|
278 |
276 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
349 |
344 |
$2K |
| 90715 |
|
205 |
203 |
$1K |
| 96160 |
|
550 |
527 |
$1K |
| 90480 |
|
78 |
76 |
$1K |
| 90621 |
|
51 |
51 |
$985.88 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
148 |
148 |
$811.14 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
83 |
82 |
$674.76 |
| 92551 |
|
261 |
260 |
$673.93 |
| 0003A |
|
15 |
15 |
$526.38 |
| 81003 |
|
727 |
696 |
$519.39 |
| 96150 |
|
153 |
146 |
$462.54 |
| 91320 |
|
17 |
17 |
$460.00 |
| 0012A |
|
16 |
15 |
$445.43 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
16 |
16 |
$419.95 |
| 0011A |
|
23 |
23 |
$395.20 |
| 90656 |
|
97 |
97 |
$382.35 |
| 0124A |
|
18 |
18 |
$300.24 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
103 |
103 |
$263.32 |
| 87210 |
|
127 |
125 |
$192.80 |
| 99409 |
|
22 |
22 |
$151.56 |
| 59025 |
Fetal non-stress test |
31 |
17 |
$135.70 |
| 99408 |
|
12 |
12 |
$65.65 |
| 99173 |
|
759 |
748 |
$0.00 |
| 90670 |
|
96 |
96 |
$0.00 |
| S4993 |
Contraceptive pills for birth control |
39 |
39 |
$0.00 |
| 99051 |
|
13 |
12 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
203 |
202 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |