| 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 |
12,245 |
10,220 |
$1.00M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,899 |
6,064 |
$273K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,725 |
4,064 |
$81K |
| 80305 |
|
5,327 |
4,573 |
$42K |
| 90832 |
Psychotherapy, 30 minutes with patient |
666 |
510 |
$29K |
| 90837 |
Psychotherapy, 53 minutes with patient |
252 |
162 |
$22K |
| 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 |
428 |
422 |
$21K |
| 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 |
1,435 |
857 |
$21K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
61 |
61 |
$18K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
355 |
258 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
237 |
231 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
590 |
551 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
40 |
40 |
$4K |
| H0001 |
Alcohol and/or drug assessment |
21 |
21 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
69 |
56 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
54 |
$3K |
| 98966 |
|
320 |
316 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
35 |
$1K |
| 81025 |
|
302 |
284 |
$1K |
| 90686 |
|
78 |
74 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
116 |
113 |
$1K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
73 |
$1K |
| 90656 |
|
35 |
35 |
$737.55 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
42 |
$277.78 |
| 81002 |
|
29 |
27 |
$69.12 |
| 96127 |
|
21 |
21 |
$47.68 |
| 3077F |
|
394 |
377 |
$0.00 |
| 3078F |
|
2,737 |
2,539 |
$0.00 |
| 3079F |
|
2,192 |
2,042 |
$0.00 |
| 3075F |
|
1,045 |
992 |
$0.00 |
| 3074F |
|
3,736 |
3,370 |
$0.00 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
364 |
364 |
$0.00 |
| 3080F |
|
145 |
137 |
$0.00 |
| Q9992 |
Injection, buprenorphine extended-release (sublocade), greater than 100 mg |
97 |
87 |
$0.00 |