| 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 |
10,994 |
4,422 |
$4.61M |
| 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 |
8,562 |
7,461 |
$3.54M |
| 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 |
877 |
868 |
$303K |
| D1110 |
Prophylaxis - adult |
317 |
316 |
$128K |
| D0140 |
Limited oral evaluation - problem focused |
159 |
155 |
$68K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,910 |
2,391 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,876 |
3,624 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,492 |
3,199 |
$18K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,354 |
1,397 |
$16K |
| 90834 |
Psychotherapy, 45 minutes with patient |
948 |
758 |
$8K |
| 0012A |
|
146 |
146 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
51 |
51 |
$4K |
| 0011A |
|
150 |
150 |
$3K |
| D1206 |
Topical application of fluoride varnish |
247 |
247 |
$3K |
| 0002A |
|
63 |
63 |
$2K |
| 0064A |
|
57 |
57 |
$2K |
| 0001A |
|
58 |
58 |
$2K |
| D0274 |
Bitewings - four radiographic images |
171 |
171 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
818 |
812 |
$2K |
| 99215 |
Prolong outpt/office vis |
137 |
130 |
$2K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
416 |
163 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
241 |
204 |
$744.20 |
| 36415 |
Collection of venous blood by venipuncture |
1,216 |
1,183 |
$658.68 |
| 0031A |
|
24 |
24 |
$623.56 |
| 90688 |
|
311 |
311 |
$556.85 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$535.00 |
| D0220 |
Intraoral - periapical first radiographic image |
144 |
140 |
$504.60 |
| 0134A |
|
13 |
12 |
$487.89 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
73 |
73 |
$395.37 |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
13 |
$350.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
296 |
290 |
$338.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
30 |
$134.98 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
69 |
66 |
$85.38 |
| 82962 |
|
145 |
140 |
$59.58 |
| 81003 |
|
332 |
318 |
$57.34 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
52 |
$53.05 |
| Q3014 |
Telehealth originating site facility fee |
148 |
141 |
$49.72 |
| 80305 |
|
28 |
27 |
$20.86 |
| 81002 |
|
12 |
12 |
$5.76 |
| 82947 |
|
13 |
13 |
$3.26 |
| 90686 |
|
22 |
22 |
$0.01 |
| 91300 |
|
131 |
104 |
$0.00 |
| 4064F |
|
207 |
203 |
$0.00 |
| 3089F |
|
160 |
147 |
$0.00 |
| 91313 |
|
13 |
12 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |
| 91305 |
|
15 |
15 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,419 |
875 |
$0.00 |
| 2000F |
|
42 |
36 |
$0.00 |
| 91301 |
|
300 |
294 |
$0.00 |
| 3008F |
|
29 |
28 |
$0.00 |
| 91303 |
|
24 |
24 |
$0.00 |
| 91306 |
|
57 |
57 |
$0.00 |