| 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 |
15,445 |
10,116 |
$3.86M |
| 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 |
4,033 |
2,344 |
$1.35M |
| D0140 |
Limited oral evaluation - problem focused |
2,321 |
2,290 |
$516K |
| D1110 |
Prophylaxis - adult |
2,462 |
2,458 |
$362K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,444 |
1,441 |
$264K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,485 |
747 |
$247K |
| D0120 |
Periodic oral evaluation - established patient |
2,245 |
2,242 |
$205K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,073 |
864 |
$199K |
| 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 |
1,105 |
1,074 |
$185K |
| 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 |
640 |
632 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,655 |
5,574 |
$111K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
576 |
455 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,561 |
2,304 |
$80K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,102 |
1,956 |
$43K |
| D9310 |
|
86 |
86 |
$30K |
| D0274 |
Bitewings - four radiographic images |
1,207 |
1,204 |
$29K |
| D0210 |
Intraoral - complete series of radiographic images |
495 |
495 |
$26K |
| D1120 |
Prophylaxis - child |
541 |
541 |
$22K |
| D0220 |
Intraoral - periapical first radiographic image |
1,775 |
1,757 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
342 |
341 |
$13K |
| 99215 |
Prolong outpt/office vis |
222 |
206 |
$12K |
| D1206 |
Topical application of fluoride varnish |
578 |
578 |
$11K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,001 |
1,030 |
$10K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
48 |
27 |
$8K |
| 92015 |
Determination of refractive state |
1,307 |
1,305 |
$6K |
| D2330 |
|
42 |
27 |
$6K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
31 |
26 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
215 |
215 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
105 |
104 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
122 |
119 |
$4K |
| 98940 |
|
466 |
250 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
335 |
310 |
$4K |
| D2335 |
|
13 |
12 |
$3K |
| 0012A |
|
84 |
84 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
380 |
371 |
$2K |
| D0330 |
Panoramic radiographic image |
38 |
38 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
31 |
$2K |
| 87428 |
|
96 |
94 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
469 |
444 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,012 |
909 |
$2K |
| 80053 |
Comprehensive metabolic panel |
307 |
300 |
$2K |
| 0011A |
|
84 |
81 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
150 |
115 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$898.90 |
| 90686 |
|
110 |
110 |
$879.03 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
128 |
125 |
$726.17 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
31 |
26 |
$640.32 |
| 80061 |
Lipid panel |
90 |
90 |
$621.04 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
81 |
81 |
$450.24 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
31 |
$296.24 |
| 90656 |
|
13 |
13 |
$290.55 |
| 99000 |
|
21 |
19 |
$272.19 |
| 84443 |
Thyroid stimulating hormone (TSH) |
26 |
26 |
$222.56 |
| 90688 |
|
32 |
32 |
$204.23 |
| 97035 |
|
24 |
12 |
$141.44 |
| 99605 |
|
52 |
47 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
40 |
$0.00 |
| D0180 |
|
13 |
13 |
$0.00 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
82 |
42 |
$0.00 |
| 99606 |
|
20 |
16 |
$0.00 |
| 97010 |
|
16 |
12 |
$0.00 |