| 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 |
4,023 |
3,639 |
$175K |
| 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 |
1,938 |
1,373 |
$104K |
| 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 |
566 |
559 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,486 |
1,425 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,870 |
1,760 |
$24K |
| 90837 |
Psychotherapy, 53 minutes with patient |
693 |
529 |
$17K |
| 90834 |
Psychotherapy, 45 minutes with patient |
516 |
452 |
$8K |
| 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 |
109 |
109 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
127 |
125 |
$5K |
| 99215 |
Prolong outpt/office vis |
157 |
145 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
53 |
$687.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
114 |
114 |
$619.04 |
| 36415 |
Collection of venous blood by venipuncture |
320 |
309 |
$468.99 |
| 90832 |
Psychotherapy, 30 minutes with patient |
42 |
37 |
$407.86 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$202.00 |
| 90686 |
|
13 |
13 |
$152.24 |
| 96127 |
|
13 |
13 |
$2.77 |
| G9002 |
Coordinated care fee, maintenance rate |
54 |
52 |
$0.10 |
| 1159F |
|
2,616 |
2,466 |
$0.00 |
| 3078F |
|
1,607 |
1,543 |
$0.00 |
| 1220F |
|
2,029 |
1,730 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
434 |
425 |
$0.00 |
| 1034F |
|
385 |
374 |
$0.00 |
| 1036F |
|
902 |
878 |
$0.00 |
| 1000F |
|
1,452 |
1,410 |
$0.00 |
| 3074F |
|
2,141 |
2,036 |
$0.00 |
| 3079F |
|
717 |
698 |
$0.00 |
| 1125F |
|
95 |
91 |
$0.00 |
| 3075F |
|
116 |
113 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
31 |
27 |
$0.00 |
| 1031F |
|
14 |
13 |
$0.00 |