| 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 |
5,696 |
4,659 |
$219K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,954 |
2,497 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
624 |
623 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
844 |
811 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
304 |
300 |
$14K |
| 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 |
216 |
214 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
939 |
928 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
437 |
398 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
74 |
74 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
297 |
296 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
382 |
375 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
43 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
73 |
70 |
$721.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$246.42 |
| 90651 |
|
28 |
28 |
$172.08 |
| 90474 |
|
14 |
14 |
$30.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90461 |
|
490 |
490 |
$0.00 |
| 90681 |
|
160 |
160 |
$0.00 |
| 90670 |
|
481 |
480 |
$0.00 |
| 90687 |
|
286 |
285 |
$0.00 |
| 90633 |
|
115 |
115 |
$0.00 |
| 90685 |
|
35 |
35 |
$0.00 |
| 90723 |
|
172 |
171 |
$0.00 |
| 90698 |
|
52 |
52 |
$0.00 |
| 90647 |
|
243 |
242 |
$0.00 |
| 90686 |
|
109 |
108 |
$0.00 |