| 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 |
19,294 |
16,414 |
$1.29M |
| 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 |
1,825 |
1,407 |
$111K |
| 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 |
1,076 |
1,055 |
$74K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
616 |
614 |
$53K |
| D0140 |
Limited oral evaluation - problem focused |
284 |
279 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,418 |
8,689 |
$19K |
| D7140 |
Extraction, erupted tooth or exposed root |
180 |
73 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,159 |
4,005 |
$13K |
| D0330 |
Panoramic radiographic image |
222 |
222 |
$9K |
| D1110 |
Prophylaxis - adult |
83 |
83 |
$9K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
47 |
38 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,027 |
830 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
261 |
260 |
$5K |
| D1120 |
Prophylaxis - child |
117 |
117 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
243 |
223 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
889 |
877 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,692 |
2,632 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,145 |
2,910 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
14 |
12 |
$2K |
| D1206 |
Topical application of fluoride varnish |
65 |
65 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
187 |
186 |
$2K |
| 82962 |
|
3,411 |
3,242 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
952 |
922 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
42 |
42 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
268 |
264 |
$1K |
| D0274 |
Bitewings - four radiographic images |
49 |
49 |
$1K |
| 90756 |
|
287 |
282 |
$1K |
| 81025 |
|
789 |
698 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,216 |
1,163 |
$779.77 |
| 81000 |
|
1,009 |
914 |
$752.19 |
| 90674 |
|
262 |
257 |
$747.17 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
349 |
340 |
$659.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
228 |
219 |
$595.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
195 |
187 |
$475.84 |
| 86703 |
|
439 |
425 |
$450.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
251 |
224 |
$436.22 |
| 90658 |
|
55 |
55 |
$338.92 |
| 90632 |
|
15 |
15 |
$237.28 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
44 |
$173.79 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
69 |
60 |
$114.90 |
| 99385 |
|
42 |
42 |
$99.37 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$97.86 |
| 90715 |
|
21 |
20 |
$92.85 |
| 96160 |
|
309 |
304 |
$92.45 |
| 90832 |
Psychotherapy, 30 minutes with patient |
40 |
38 |
$75.28 |
| 99408 |
|
172 |
171 |
$74.30 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
13 |
$73.74 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
50 |
50 |
$46.00 |
| 92551 |
|
31 |
26 |
$13.86 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
842 |
832 |
$0.00 |
| 80061 |
Lipid panel |
521 |
508 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
75 |
75 |
$0.00 |
| 82570 |
|
96 |
92 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
127 |
127 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$0.00 |
| 99173 |
|
107 |
98 |
$0.00 |
| G9396 |
Patient with an initial phq-9 score greater than nine who was not assessed for remission at twelve months (+/- 30 days) |
55 |
42 |
$0.00 |
| 80074 |
|
92 |
90 |
$0.00 |
| 82947 |
|
12 |
12 |
$0.00 |
| 87799 |
|
220 |
217 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
74 |
71 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
33 |
31 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 0001F |
|
9,328 |
8,883 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
714 |
692 |
$0.00 |
| 1036F |
|
2,292 |
1,963 |
$0.00 |
| 1000F |
|
3,134 |
2,668 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
391 |
374 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
773 |
751 |
$0.00 |
| 86803 |
|
136 |
135 |
$0.00 |
| 84479 |
|
35 |
34 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
160 |
155 |
$0.00 |
| 1034F |
|
845 |
763 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
190 |
189 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
294 |
282 |
$0.00 |
| 86592 |
|
200 |
196 |
$0.00 |
| 87340 |
|
68 |
67 |
$0.00 |
| 88142 |
|
60 |
60 |
$0.00 |
| 87088 |
|
44 |
42 |
$0.00 |
| 3008F |
|
28 |
26 |
$0.00 |