| 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 |
10,252 |
7,615 |
$30K |
| 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 |
7,937 |
7,578 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33,437 |
30,625 |
$592.71 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
321,168 |
263,695 |
$420.33 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,917 |
1,698 |
$258.99 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
31,195 |
21,639 |
$33.44 |
| 92227 |
|
1,559 |
1,529 |
$21.44 |
| 3725F |
|
319,949 |
258,001 |
$0.00 |
| 3077F |
|
19,920 |
18,212 |
$0.00 |
| 1159F |
|
100,702 |
84,130 |
$0.00 |
| 3078F |
|
270,405 |
232,719 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,557 |
1,417 |
$0.00 |
| 1160F |
|
100,704 |
84,132 |
$0.00 |
| 81003 |
|
20,620 |
18,295 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
84 |
84 |
$0.00 |
| 97803 |
|
1,563 |
1,375 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,519 |
3,518 |
$0.00 |
| S3000 |
Diabetic indicator; retinal eye exam, dilated, bilateral |
1,450 |
1,449 |
$0.00 |
| 90633 |
|
744 |
743 |
$0.00 |
| 81025 |
|
10,873 |
10,527 |
$0.00 |
| 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 |
444 |
442 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
287 |
285 |
$0.00 |
| 98940 |
|
11,415 |
7,662 |
$0.00 |
| 90715 |
|
2,117 |
2,116 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,733 |
5,646 |
$0.00 |
| 11721 |
|
773 |
771 |
$0.00 |
| 99173 |
|
11,850 |
11,809 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,085 |
4,083 |
$0.00 |
| G9920 |
Screening performed and negative |
4,835 |
4,575 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,000 |
3,000 |
$0.00 |
| 11720 |
|
653 |
652 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
18,442 |
17,830 |
$0.00 |
| 90649 |
|
678 |
677 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,495 |
3,485 |
$0.00 |
| 17110 |
|
28 |
26 |
$0.00 |
| 69210 |
|
155 |
150 |
$0.00 |
| 90658 |
|
4,029 |
4,023 |
$0.00 |
| 92015 |
Determination of refractive state |
72 |
72 |
$0.00 |
| 99401 |
|
3,037 |
2,630 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,754 |
3,750 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
665 |
661 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,032 |
2,030 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,875 |
1,873 |
$0.00 |
| L3040 |
Foot, arch support, removable, premolded, longitudinal, each |
520 |
518 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
82 |
81 |
$0.00 |
| 90710 |
|
243 |
242 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
65 |
65 |
$0.00 |
| 90700 |
|
77 |
77 |
$0.00 |
| 92020 |
|
13 |
12 |
$0.00 |
| 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 |
33 |
32 |
$0.00 |
| 59025 |
Fetal non-stress test |
208 |
79 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
96 |
96 |
$0.00 |
| 95800 |
|
192 |
184 |
$0.00 |
| 99499 |
|
392 |
392 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
211 |
210 |
$0.00 |
| 92133 |
|
173 |
173 |
$0.00 |
| 92083 |
|
98 |
97 |
$0.00 |
| 90707 |
|
169 |
169 |
$0.00 |
| 11750 |
|
83 |
81 |
$0.00 |
| 11719 |
|
179 |
179 |
$0.00 |
| 72100 |
|
25 |
25 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
123 |
123 |
$0.00 |
| 90713 |
|
27 |
27 |
$0.00 |
| 20605 |
|
15 |
15 |
$0.00 |
| 11056 |
|
41 |
40 |
$0.00 |
| 99397 |
|
13 |
13 |
$0.00 |
| 91322 |
|
12 |
12 |
$0.00 |
| 3075F |
|
59,683 |
55,592 |
$0.00 |
| 1126F |
|
215,629 |
189,796 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48,585 |
44,736 |
$0.00 |
| 1036F |
|
357,777 |
278,478 |
$0.00 |
| 90696 |
|
184 |
183 |
$0.00 |
| 3079F |
|
82,326 |
75,194 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
10,797 |
10,466 |
$0.00 |
| 82962 |
|
2,420 |
2,308 |
$0.00 |
| 92551 |
|
11,290 |
11,257 |
$0.00 |
| 3074F |
|
278,615 |
238,880 |
$0.00 |
| 3008F |
|
369,378 |
309,908 |
$0.00 |
| 85018 |
|
14,523 |
14,419 |
$0.00 |
| 90686 |
|
1,496 |
1,496 |
$0.00 |
| 1034F |
|
20,979 |
15,717 |
$0.00 |
| 3080F |
|
6,351 |
5,969 |
$0.00 |
| 1125F |
|
46,720 |
41,015 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
2,706 |
2,640 |
$0.00 |
| 96156 |
|
3,654 |
3,171 |
$0.00 |
| 11055 |
|
66 |
63 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
7,705 |
7,526 |
$0.00 |
| 99385 |
|
293 |
293 |
$0.00 |
| 90677 |
|
925 |
925 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,712 |
1,556 |
$0.00 |
| 1035F |
|
2,961 |
2,175 |
$0.00 |
| 99441 |
|
25 |
25 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
649 |
601 |
$0.00 |
| 90688 |
|
2,156 |
2,152 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
409 |
392 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
4,697 |
3,163 |
$0.00 |
| 92250 |
|
1,124 |
1,117 |
$0.00 |
| 86580 |
|
3,283 |
2,988 |
$0.00 |
| 90619 |
|
632 |
632 |
$0.00 |
| 97802 |
|
720 |
717 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
64 |
56 |
$0.00 |
| 93000 |
|
1,146 |
1,139 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,184 |
1,104 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
62 |
62 |
$0.00 |
| 90656 |
|
1,384 |
1,384 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
93 |
93 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
280 |
279 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
371 |
342 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
354 |
354 |
$0.00 |
| 99070 |
|
394 |
379 |
$0.00 |
| J3490 |
Unclassified drugs |
348 |
348 |
$0.00 |
| 90716 |
|
436 |
436 |
$0.00 |
| 20550 |
|
13 |
12 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
314 |
257 |
$0.00 |
| 90480 |
|
26 |
26 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
74 |
74 |
$0.00 |
| 99386 |
|
54 |
54 |
$0.00 |
| 90647 |
|
55 |
55 |
$0.00 |
| 90697 |
|
71 |
71 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
13 |
13 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
27 |
$0.00 |
| 99381 |
|
14 |
14 |
$0.00 |
| 99243 |
|
41 |
41 |
$0.00 |
| 90744 |
|
53 |
53 |
$0.00 |
| 11730 |
|
150 |
142 |
$0.00 |
| 90651 |
|
26 |
26 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
80 |
80 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
29 |
29 |
$0.00 |