| 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 |
25,828 |
23,236 |
$1.86M |
| 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 |
1,794 |
1,769 |
$130K |
| 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 |
2,771 |
2,677 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,354 |
10,736 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,431 |
9,686 |
$8K |
| 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 |
66 |
46 |
$4K |
| 0011A |
|
226 |
220 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,110 |
1,079 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
609 |
606 |
$2K |
| 0012A |
|
129 |
129 |
$2K |
| 0064A |
|
179 |
179 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,544 |
1,432 |
$2K |
| 0134A |
|
88 |
87 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,299 |
1,274 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,904 |
1,804 |
$830.57 |
| 90688 |
|
362 |
350 |
$820.64 |
| 90686 |
|
506 |
500 |
$796.18 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
209 |
203 |
$658.85 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,419 |
3,234 |
$584.06 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
318 |
289 |
$375.21 |
| 90480 |
|
27 |
27 |
$367.90 |
| 90837 |
Psychotherapy, 53 minutes with patient |
206 |
137 |
$259.11 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$213.86 |
| 96160 |
|
465 |
442 |
$180.86 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
109 |
109 |
$170.36 |
| 83037 |
|
81 |
80 |
$107.16 |
| 90674 |
|
15 |
15 |
$100.00 |
| 90756 |
|
13 |
13 |
$91.16 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
85 |
77 |
$89.02 |
| 90658 |
|
29 |
27 |
$59.32 |
| 3079F |
|
428 |
423 |
$0.00 |
| 3080F |
|
200 |
199 |
$0.00 |
| 3074F |
|
414 |
411 |
$0.00 |
| 3075F |
|
436 |
428 |
$0.00 |
| 3008F |
|
37 |
36 |
$0.00 |
| 82962 |
|
24 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 3077F |
|
585 |
579 |
$0.00 |
| 3078F |
|
750 |
735 |
$0.00 |
| 91322 |
|
27 |
27 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
55 |
52 |
$0.00 |