| 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 |
27,789 |
22,908 |
$1.65M |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
4,179 |
4,143 |
$1.32M |
| 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 |
2,736 |
2,634 |
$201K |
| 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 |
3,485 |
2,529 |
$195K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,033 |
12,918 |
$94K |
| 59426 |
|
48 |
48 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,124 |
7,471 |
$74K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,676 |
1,486 |
$10K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,131 |
928 |
$8K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
101 |
96 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,874 |
1,812 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
954 |
926 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
561 |
556 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
156 |
114 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
296 |
295 |
$3K |
| 81025 |
|
1,722 |
1,647 |
$2K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$2K |
| 90686 |
|
992 |
967 |
$2K |
| 90715 |
|
274 |
263 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
153 |
135 |
$2K |
| 80305 |
|
524 |
377 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
31 |
28 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
662 |
624 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
74 |
73 |
$1K |
| G0469 |
Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health 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 mental health visit |
20 |
17 |
$1K |
| 90656 |
|
80 |
80 |
$1K |
| 82962 |
|
2,127 |
1,941 |
$910.65 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,032 |
1,019 |
$908.52 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
214 |
207 |
$672.54 |
| 96156 |
|
57 |
53 |
$585.33 |
| 81002 |
|
1,035 |
997 |
$553.14 |
| 99215 |
Prolong outpt/office vis |
93 |
87 |
$542.61 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
111 |
108 |
$526.64 |
| 99386 |
|
12 |
12 |
$468.40 |
| 0001A |
|
33 |
33 |
$463.18 |
| 0064A |
|
37 |
37 |
$458.54 |
| 99406 |
|
193 |
189 |
$380.70 |
| 96160 |
|
689 |
634 |
$364.46 |
| 0071A |
|
19 |
19 |
$356.80 |
| 0004A |
|
31 |
31 |
$344.67 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
157 |
150 |
$327.90 |
| 99385 |
|
13 |
13 |
$298.11 |
| 0031A |
|
32 |
32 |
$288.78 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
122 |
100 |
$201.33 |
| 90756 |
|
44 |
42 |
$186.62 |
| 11721 |
|
29 |
29 |
$178.46 |
| 0011A |
|
29 |
28 |
$176.44 |
| 99441 |
|
27 |
27 |
$159.80 |
| 99442 |
|
12 |
12 |
$157.80 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$147.48 |
| 0002A |
|
12 |
12 |
$129.70 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
31 |
30 |
$89.89 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
70 |
$81.34 |
| 0012A |
|
43 |
43 |
$80.46 |
| 93000 |
|
14 |
12 |
$74.88 |
| 96150 |
|
28 |
26 |
$46.80 |
| 96127 |
|
14 |
13 |
$21.42 |
| 81005 |
|
96 |
90 |
$14.32 |
| 90461 |
|
53 |
52 |
$4.71 |
| 90723 |
|
53 |
53 |
$0.00 |
| 3008F |
|
633 |
582 |
$0.00 |
| 4037F |
|
48 |
48 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
42 |
40 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 90674 |
|
41 |
41 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
15 |
15 |
$0.00 |
| 0502F |
|
622 |
445 |
$0.00 |
| 90648 |
|
96 |
96 |
$0.00 |
| 90670 |
|
117 |
117 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| D0191 |
|
13 |
13 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
12 |
12 |
$0.00 |