| 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 |
63,928 |
55,834 |
$3.98M |
| 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 |
15,486 |
8,743 |
$994K |
| 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 |
3,037 |
3,018 |
$220K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,788 |
24,582 |
$144K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,608 |
26,114 |
$114K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
11,056 |
6,234 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,463 |
1,458 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,104 |
1,102 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,749 |
3,715 |
$13K |
| H0031 |
Mental health assessment, by non-physician |
1,067 |
1,064 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,941 |
6,867 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,080 |
1,061 |
$11K |
| 90632 |
|
939 |
935 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
868 |
868 |
$8K |
| 90651 |
|
311 |
311 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
776 |
770 |
$6K |
| 90670 |
|
1,072 |
1,068 |
$5K |
| 90686 |
|
2,807 |
2,801 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
592 |
589 |
$4K |
| 90620 |
|
308 |
304 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,402 |
2,394 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,507 |
1,442 |
$2K |
| 90715 |
|
603 |
602 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
360 |
359 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
143 |
143 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
365 |
361 |
$2K |
| 90746 |
|
83 |
83 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
353 |
348 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
541 |
533 |
$1K |
| 80305 |
|
940 |
823 |
$1K |
| 99215 |
Prolong outpt/office vis |
87 |
84 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,131 |
617 |
$986.86 |
| 0012A |
|
26 |
26 |
$919.04 |
| 71046 |
Radiologic examination, chest; 2 views |
225 |
225 |
$899.65 |
| G9002 |
Coordinated care fee, maintenance rate |
1,304 |
1,209 |
$891.68 |
| 90707 |
|
149 |
149 |
$825.45 |
| 0031A |
|
31 |
31 |
$785.39 |
| 81002 |
|
1,493 |
1,461 |
$724.10 |
| G9001 |
Coordinated care fee, initial rate |
262 |
262 |
$486.79 |
| 0011A |
|
23 |
23 |
$407.38 |
| 90732 |
|
12 |
12 |
$323.25 |
| 90656 |
|
62 |
62 |
$312.90 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
194 |
192 |
$269.76 |
| 81025 |
|
153 |
151 |
$204.30 |
| 90473 |
|
83 |
82 |
$134.41 |
| 90834 |
Psychotherapy, 45 minutes with patient |
271 |
182 |
$108.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
81 |
$100.64 |
| 74018 |
|
12 |
12 |
$79.25 |
| 87807 |
|
61 |
60 |
$68.16 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
28 |
28 |
$48.95 |
| 81003 |
|
115 |
113 |
$34.73 |
| 82962 |
|
28 |
27 |
$10.56 |
| 98966 |
|
258 |
208 |
$0.99 |
| 98967 |
|
46 |
42 |
$0.20 |
| 90633 |
|
376 |
374 |
$0.00 |
| 90734 |
|
182 |
180 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
208 |
204 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
47 |
47 |
$0.00 |
| 90681 |
|
26 |
25 |
$0.00 |
| 90685 |
|
65 |
65 |
$0.00 |
| 90710 |
|
68 |
68 |
$0.00 |
| 90672 |
|
60 |
60 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90750 |
|
45 |
45 |
$0.00 |
| 90723 |
|
654 |
650 |
$0.00 |
| 90647 |
|
627 |
623 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
98 |
98 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 90696 |
|
42 |
42 |
$0.00 |
| 90619 |
|
27 |
27 |
$0.00 |