| 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 |
22,258 |
18,820 |
$1.49M |
| 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 |
4,209 |
2,393 |
$256K |
| 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 |
1,316 |
1,305 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,955 |
13,547 |
$26K |
| 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 |
272 |
269 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,675 |
3,469 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,728 |
1,096 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
520 |
417 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
580 |
526 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
233 |
232 |
$874.21 |
| 90656 |
|
63 |
63 |
$692.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
575 |
558 |
$518.81 |
| 90832 |
Psychotherapy, 30 minutes with patient |
465 |
370 |
$472.09 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
96 |
94 |
$467.78 |
| 0064A |
|
17 |
17 |
$454.20 |
| 90480 |
|
29 |
29 |
$359.84 |
| 0134A |
|
12 |
12 |
$340.47 |
| 90686 |
|
182 |
180 |
$194.51 |
| 0124A |
|
14 |
14 |
$190.78 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
54 |
51 |
$179.78 |
| 36415 |
Collection of venous blood by venipuncture |
675 |
639 |
$107.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
350 |
255 |
$107.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
411 |
405 |
$105.12 |
| 90688 |
|
99 |
99 |
$98.32 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$97.86 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$65.83 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
33 |
24 |
$47.54 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
55 |
50 |
$21.00 |
| 96127 |
|
97 |
95 |
$20.86 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
152 |
66 |
$18.41 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$16.13 |
| 96160 |
|
19 |
17 |
$2.18 |
| 81002 |
|
21 |
18 |
$1.10 |
| 36416 |
|
206 |
202 |
$0.00 |
| 3080F |
|
33 |
32 |
$0.00 |
| 3075F |
|
27 |
26 |
$0.00 |
| 3077F |
|
143 |
135 |
$0.00 |
| 90756 |
|
21 |
21 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$0.00 |