| 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 |
29,335 |
25,600 |
$1.55M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,807 |
12,709 |
$154K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,794 |
7,315 |
$134K |
| 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 |
1,731 |
1,719 |
$107K |
| 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 |
1,330 |
1,315 |
$76K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,043 |
5,634 |
$48K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
739 |
730 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
841 |
834 |
$15K |
| 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 |
176 |
174 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
400 |
398 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
194 |
194 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
176 |
174 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
623 |
531 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
770 |
752 |
$2K |
| 90715 |
|
132 |
130 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
569 |
519 |
$1K |
| 90688 |
|
284 |
278 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
271 |
257 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
456 |
451 |
$809.98 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
184 |
178 |
$686.52 |
| 93000 |
|
304 |
304 |
$678.40 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
338 |
245 |
$562.63 |
| 81025 |
|
155 |
154 |
$442.06 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
53 |
53 |
$350.14 |
| 81002 |
|
348 |
343 |
$313.92 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
53 |
53 |
$313.17 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
200 |
182 |
$301.85 |
| 99000 |
|
64 |
62 |
$287.76 |
| 90686 |
|
30 |
30 |
$168.20 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$160.78 |
| 99406 |
|
27 |
27 |
$108.20 |
| 90707 |
|
13 |
12 |
$55.00 |
| 82962 |
|
105 |
100 |
$51.49 |
| 80305 |
|
21 |
19 |
$20.86 |
| 3074F |
|
4,053 |
3,746 |
$0.15 |
| 3008F |
|
5,552 |
5,127 |
$0.11 |
| 3079F |
|
2,539 |
2,414 |
$0.11 |
| 3078F |
|
2,466 |
2,334 |
$0.06 |
| 3050F |
|
165 |
148 |
$0.03 |
| 3077F |
|
991 |
902 |
$0.03 |
| 3080F |
|
1,038 |
951 |
$0.03 |
| 3044F |
|
900 |
831 |
$0.03 |
| 3075F |
|
986 |
961 |
$0.02 |
| 3049F |
|
303 |
291 |
$0.01 |
| 1159F |
|
201 |
193 |
$0.00 |
| 3725F |
|
219 |
212 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
87 |
87 |
$0.00 |
| 3511F |
|
13 |
13 |
$0.00 |
| 90687 |
|
29 |
29 |
$0.00 |
| 1160F |
|
206 |
197 |
$0.00 |
| 3048F |
|
307 |
283 |
$0.00 |
| 94760 |
|
13 |
13 |
$0.00 |
| 99443 |
|
19 |
12 |
$0.00 |
| 1036F |
|
106 |
101 |
$0.00 |
| 1126F |
|
13 |
13 |
$0.00 |