| 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 |
553 |
472 |
$119K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,642 |
1,493 |
$63K |
| 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 |
85 |
84 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
3,543 |
3,351 |
$8K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
37 |
25 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
516 |
437 |
$8K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
200 |
193 |
$7K |
| 90746 |
|
104 |
102 |
$6K |
| 90716 |
|
32 |
31 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
239 |
223 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
134 |
130 |
$5K |
| 90707 |
|
60 |
59 |
$3K |
| 90715 |
|
82 |
81 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
95 |
93 |
$2K |
| 90674 |
|
83 |
81 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
27 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
116 |
113 |
$2K |
| 81025 |
|
439 |
399 |
$1K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$1K |
| D0190 |
|
90 |
88 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
24 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
12 |
$999.49 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
32 |
29 |
$749.09 |
| D1206 |
Topical application of fluoride varnish |
77 |
76 |
$245.00 |
| A4267 |
Contraceptive supply, condom, male, each |
134 |
123 |
$11.99 |
| D1330 |
|
40 |
40 |
$0.00 |
| D9992 |
|
32 |
32 |
$0.00 |