| 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 |
12,737 |
10,313 |
$942K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,010 |
5,489 |
$274K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,851 |
4,522 |
$249K |
| 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 |
894 |
417 |
$98K |
| 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 |
523 |
400 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,281 |
1,229 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
174 |
171 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
152 |
152 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
46 |
45 |
$4K |
| 0012A |
|
92 |
91 |
$2K |
| 0011A |
|
94 |
91 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
88 |
87 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
25 |
$601.86 |
| 97802 |
|
12 |
12 |
$501.38 |
| 90686 |
|
296 |
290 |
$467.79 |
| 97803 |
|
12 |
12 |
$431.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$106.34 |
| 81025 |
|
12 |
12 |
$47.52 |
| 91301 |
|
151 |
146 |
$0.00 |
| 3008F |
|
427 |
409 |
$0.00 |
| 2001F |
|
412 |
399 |
$0.00 |
| 2000F |
|
301 |
291 |
$0.00 |
| 3074F |
|
191 |
184 |
$0.00 |
| 1036F |
|
127 |
120 |
$0.00 |
| 2010F |
|
348 |
336 |
$0.00 |
| 3351F |
|
17 |
16 |
$0.00 |
| 91307 |
|
15 |
14 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$0.00 |
| 4037F |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 1160F |
|
237 |
229 |
$0.00 |
| 1159F |
|
234 |
226 |
$0.00 |
| 90461 |
|
292 |
291 |
$0.00 |
| 91300 |
|
35 |
30 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
81 |
45 |
$0.00 |
| 3078F |
|
196 |
190 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90670 |
|
50 |
50 |
$0.00 |
| 99173 |
|
36 |
36 |
$0.00 |
| 4274F |
|
48 |
47 |
$0.00 |