| 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 |
15,728 |
13,442 |
$993K |
| 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 |
2,879 |
2,257 |
$175K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,695 |
9,321 |
$48K |
| 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 |
456 |
455 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,611 |
2,530 |
$16K |
| 99215 |
Prolong outpt/office vis |
347 |
327 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,006 |
877 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
309 |
268 |
$3K |
| 80305 |
|
1,578 |
1,240 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
916 |
844 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
60 |
49 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
81 |
80 |
$898.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
318 |
287 |
$562.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
247 |
244 |
$430.54 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
478 |
448 |
$371.60 |
| 90674 |
|
41 |
41 |
$337.56 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
203 |
202 |
$329.66 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
38 |
$300.10 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
44 |
44 |
$229.00 |
| 90715 |
|
29 |
29 |
$219.34 |
| 90686 |
|
76 |
75 |
$216.00 |
| 82962 |
|
286 |
264 |
$167.64 |
| 96160 |
|
243 |
238 |
$127.60 |
| 96150 |
|
16 |
16 |
$96.60 |
| 92551 |
|
14 |
13 |
$45.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
15 |
$31.30 |
| 93000 |
|
12 |
12 |
$28.53 |
| 99173 |
|
13 |
12 |
$27.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$14.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$13.76 |
| 3008F |
|
475 |
441 |
$0.00 |
| 4037F |
|
48 |
48 |
$0.00 |