| 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 |
9,760 |
8,597 |
$609K |
| 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 |
595 |
588 |
$56K |
| 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 |
812 |
476 |
$47K |
| 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 |
701 |
700 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,927 |
3,599 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,441 |
4,114 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
408 |
374 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
40 |
39 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,336 |
1,316 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
343 |
342 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
651 |
644 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
151 |
150 |
$988.79 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
85 |
$803.90 |
| 90686 |
|
457 |
453 |
$666.05 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
105 |
104 |
$554.32 |
| 36415 |
Collection of venous blood by venipuncture |
1,668 |
1,570 |
$553.84 |
| 90834 |
Psychotherapy, 45 minutes with patient |
389 |
251 |
$551.32 |
| 90837 |
Psychotherapy, 53 minutes with patient |
21 |
15 |
$526.96 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
141 |
141 |
$509.53 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
177 |
173 |
$291.15 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
148 |
144 |
$263.32 |
| 81025 |
|
164 |
158 |
$247.08 |
| 90651 |
|
15 |
15 |
$229.34 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
118 |
118 |
$162.68 |
| 36416 |
|
501 |
439 |
$107.06 |
| 90715 |
|
19 |
19 |
$92.85 |
| 82962 |
|
151 |
149 |
$75.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$26.24 |
| 81003 |
|
39 |
39 |
$9.48 |
| 81002 |
|
13 |
13 |
$2.20 |
| 98966 |
|
24 |
13 |
$0.11 |
| 90670 |
|
42 |
42 |
$0.00 |
| 90685 |
|
19 |
19 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90648 |
|
27 |
27 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$0.00 |