| 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 |
13,415 |
11,691 |
$410K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,829 |
5,334 |
$261K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,291 |
3,896 |
$108K |
| 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 |
597 |
419 |
$42K |
| 99215 |
Prolong outpt/office vis |
480 |
460 |
$38K |
| 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 |
632 |
632 |
$32K |
| 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 |
305 |
305 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
603 |
586 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
151 |
151 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
207 |
201 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
788 |
776 |
$6K |
| 90686 |
|
439 |
438 |
$4K |
| 0011A |
|
122 |
119 |
$4K |
| 0012A |
|
83 |
83 |
$3K |
| 87428 |
|
30 |
30 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
42 |
$1K |
| 0064A |
|
20 |
20 |
$719.15 |
| 98928 |
|
17 |
13 |
$690.77 |
| 0002A |
|
13 |
13 |
$492.05 |
| 0134A |
|
13 |
13 |
$480.09 |
| 0001A |
|
12 |
12 |
$454.20 |
| 90656 |
|
16 |
16 |
$343.39 |
| 99000 |
|
34 |
33 |
$12.88 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
265 |
264 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
77 |
77 |
$0.00 |
| 3074F |
|
1,547 |
1,388 |
$0.00 |
| 3079F |
|
850 |
792 |
$0.00 |
| 3075F |
|
583 |
558 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
116 |
98 |
$0.00 |
| 91301 |
|
211 |
201 |
$0.00 |
| 91306 |
|
14 |
14 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 3078F |
|
1,400 |
1,263 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
280 |
225 |
$0.00 |
| 3077F |
|
122 |
116 |
$0.00 |
| 99307 |
|
13 |
13 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$0.00 |