| 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 |
10,233 |
8,259 |
$508K |
| 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 |
5,466 |
3,749 |
$348K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,107 |
4,517 |
$107K |
| 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 |
939 |
932 |
$64K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,944 |
3,025 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,402 |
3,003 |
$48K |
| 99215 |
Prolong outpt/office vis |
1,129 |
1,055 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
489 |
486 |
$8K |
| 90632 |
|
311 |
310 |
$7K |
| 99406 |
|
1,084 |
960 |
$4K |
| 90746 |
|
133 |
132 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
664 |
626 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
14 |
13 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
17 |
16 |
$2K |
| 90707 |
|
75 |
75 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
328 |
321 |
$2K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$1K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
325 |
171 |
$1K |
| 0012A |
|
40 |
40 |
$1K |
| 80305 |
|
191 |
159 |
$990.85 |
| 90686 |
|
159 |
157 |
$899.12 |
| 0011A |
|
43 |
43 |
$787.10 |
| 90715 |
|
47 |
47 |
$526.32 |
| 90834 |
Psychotherapy, 45 minutes with patient |
17 |
13 |
$519.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
63 |
63 |
$462.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
20 |
12 |
$259.11 |
| 96160 |
|
18 |
15 |
$251.58 |
| H0001 |
Alcohol and/or drug assessment |
36 |
34 |
$245.92 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
51 |
51 |
$167.03 |
| 99407 |
|
28 |
27 |
$156.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$75.48 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$64.00 |
| 82947 |
|
45 |
43 |
$58.68 |
| D0220 |
Intraoral - periapical first radiographic image |
22 |
19 |
$14.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
16 |
15 |
$7.00 |