| 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 |
19,208 |
16,462 |
$1.24M |
| 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 |
2,373 |
1,803 |
$159K |
| 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 |
1,445 |
1,396 |
$120K |
| 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 |
552 |
547 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,163 |
11,422 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,446 |
4,064 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,095 |
822 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
611 |
590 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
295 |
287 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
307 |
248 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
396 |
375 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
197 |
169 |
$795.15 |
| 36415 |
Collection of venous blood by venipuncture |
2,357 |
2,184 |
$581.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
230 |
220 |
$460.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
461 |
330 |
$377.04 |
| 0011A |
|
14 |
14 |
$267.10 |
| 0031A |
|
16 |
16 |
$264.95 |
| 90791 |
Psychiatric diagnostic evaluation |
75 |
74 |
$159.66 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
154 |
150 |
$150.13 |
| 90756 |
|
74 |
70 |
$138.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
79 |
74 |
$103.68 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
28 |
$85.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
102 |
99 |
$77.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
25 |
$73.74 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
33 |
$72.79 |
| 90688 |
|
196 |
186 |
$71.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$13.12 |
| 81002 |
|
47 |
45 |
$5.50 |
| 96160 |
|
29 |
26 |
$4.36 |
| G0008 |
Administration of influenza virus vaccine |
47 |
46 |
$0.00 |
| 36416 |
|
47 |
45 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
36 |
12 |
$0.00 |
| 96127 |
|
23 |
22 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$0.00 |
| G9002 |
Coordinated care fee, maintenance rate |
25 |
24 |
$0.00 |
| 90461 |
|
28 |
28 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$0.00 |