| 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 |
26,839 |
23,115 |
$1.88M |
| 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 |
3,996 |
2,617 |
$272K |
| 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 |
2,545 |
2,489 |
$210K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
351 |
266 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,754 |
12,314 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,796 |
8,913 |
$32K |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
309 |
305 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,390 |
1,357 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,859 |
1,304 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
568 |
410 |
$5K |
| 0011A |
|
146 |
146 |
$3K |
| 0012A |
|
81 |
81 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,016 |
973 |
$2K |
| 90677 |
|
15 |
15 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
150 |
150 |
$1K |
| 90656 |
|
74 |
74 |
$938.72 |
| 90832 |
Psychotherapy, 30 minutes with patient |
252 |
200 |
$825.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
927 |
919 |
$760.66 |
| 90791 |
Psychiatric diagnostic evaluation |
121 |
118 |
$704.62 |
| 0031A |
|
30 |
30 |
$633.99 |
| 0124A |
|
42 |
42 |
$581.96 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
97 |
96 |
$488.04 |
| 90480 |
|
43 |
42 |
$439.78 |
| 0064A |
|
26 |
26 |
$414.75 |
| 90686 |
|
336 |
336 |
$409.23 |
| 0134A |
|
31 |
30 |
$269.54 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$259.71 |
| 80305 |
|
781 |
712 |
$250.32 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
432 |
406 |
$249.98 |
| 90688 |
|
194 |
187 |
$246.32 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
321 |
293 |
$208.56 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
83 |
83 |
$192.30 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
466 |
462 |
$160.80 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
16 |
$84.78 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$65.83 |
| 96127 |
|
120 |
118 |
$43.49 |
| 81025 |
|
146 |
144 |
$35.65 |
| 81002 |
|
207 |
203 |
$17.28 |
| 3075F |
|
83 |
82 |
$0.00 |
| 36416 |
|
306 |
299 |
$0.00 |
| 3079F |
|
122 |
119 |
$0.00 |
| 91301 |
|
17 |
17 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
42 |
25 |
$0.00 |
| 3080F |
|
29 |
29 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
53 |
53 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
19 |
19 |
$0.00 |
| 3077F |
|
134 |
129 |
$0.00 |
| 80354 |
|
39 |
36 |
$0.00 |
| 90461 |
|
81 |
41 |
$0.00 |
| 90756 |
|
34 |
31 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |