| 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 |
21,047 |
17,921 |
$1.01M |
| 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 |
4,381 |
3,015 |
$202K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,923 |
8,938 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,467 |
6,830 |
$125K |
| 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 |
560 |
558 |
$35K |
| 90837 |
Psychotherapy, 53 minutes with patient |
822 |
598 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,022 |
966 |
$21K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,508 |
1,121 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,057 |
1,013 |
$9K |
| 90832 |
Psychotherapy, 30 minutes with patient |
505 |
409 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,137 |
1,107 |
$6K |
| 87428 |
|
446 |
435 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
151 |
146 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
148 |
148 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
167 |
166 |
$3K |
| 80306 |
|
496 |
410 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
87 |
87 |
$3K |
| 99000 |
|
199 |
194 |
$2K |
| 0011A |
|
60 |
60 |
$1K |
| 90688 |
|
248 |
248 |
$1K |
| 0031A |
|
29 |
29 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
315 |
314 |
$1K |
| 0012A |
|
26 |
25 |
$946.25 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
180 |
177 |
$882.63 |
| 81025 |
|
161 |
139 |
$613.18 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
27 |
$511.08 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$508.38 |
| 0064A |
|
13 |
13 |
$492.05 |
| 81002 |
|
465 |
452 |
$415.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
124 |
123 |
$384.08 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
114 |
114 |
$319.79 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$203.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
42 |
38 |
$74.52 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
25 |
25 |
$42.75 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$35.00 |
| 93000 |
|
12 |
12 |
$27.48 |
| 96160 |
|
12 |
12 |
$4.74 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
3,035 |
2,662 |
$0.00 |
| 91301 |
|
46 |
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 |
35 |
29 |
$0.00 |