| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
7,367 |
4,226 |
$715K |
| 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 |
6,493 |
4,966 |
$469K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
160 |
155 |
$198K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,667 |
2,223 |
$30K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,944 |
2,556 |
$23K |
| 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 |
278 |
278 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,011 |
2,368 |
$17K |
| 90837 |
Psychotherapy, 53 minutes with patient |
198 |
129 |
$5K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
518 |
242 |
$5K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
892 |
721 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
275 |
265 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
151 |
107 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
57 |
$1K |
| 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 |
13 |
13 |
$891.97 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
42 |
42 |
$615.18 |
| 96156 |
|
44 |
40 |
$606.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
441 |
425 |
$391.69 |
| 90791 |
Psychiatric diagnostic evaluation |
64 |
63 |
$307.06 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$276.36 |
| 80305 |
|
34 |
27 |
$125.16 |
| 81025 |
|
15 |
14 |
$42.78 |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
77 |
40 |
$26.04 |
| 3008F |
|
996 |
710 |
$0.43 |
| 3074F |
|
839 |
594 |
$0.36 |
| 3078F |
|
456 |
347 |
$0.21 |
| 3079F |
|
465 |
372 |
$0.20 |
| 3075F |
|
47 |
41 |
$0.03 |
| 3080F |
|
214 |
179 |
$0.03 |
| 3077F |
|
131 |
111 |
$0.03 |
| 1036F |
|
23 |
21 |
$0.00 |
| 3044F |
|
16 |
12 |
$0.00 |
| 3725F |
|
22 |
20 |
$0.00 |
| 1159F |
|
27 |
26 |
$0.00 |
| 1160F |
|
27 |
26 |
$0.00 |