| 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 |
1,472 |
1,343 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
894 |
864 |
$38K |
| 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 |
650 |
599 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
326 |
297 |
$7K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
510 |
481 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$898.90 |
| 90658 |
|
16 |
16 |
$275.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$197.44 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
31 |
31 |
$136.68 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
30 |
$112.58 |
| 82962 |
|
45 |
44 |
$67.75 |
| 99173 |
|
14 |
14 |
$0.00 |
| 3077F |
|
16 |
15 |
$0.00 |
| 3074F |
|
28 |
28 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 3079F |
|
80 |
79 |
$0.00 |