| 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 |
64,448 |
39,199 |
$3.94M |
| 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 |
38,046 |
27,975 |
$2.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,725 |
25,203 |
$476K |
| 90834 |
Psychotherapy, 45 minutes with patient |
19,969 |
13,522 |
$316K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,065 |
12,048 |
$284K |
| 90837 |
Psychotherapy, 53 minutes with patient |
7,245 |
4,826 |
$175K |
| 90832 |
Psychotherapy, 30 minutes with patient |
11,538 |
8,604 |
$137K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
3,294 |
3,284 |
$133K |
| 90791 |
Psychiatric diagnostic evaluation |
3,353 |
3,297 |
$126K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
6,318 |
2,420 |
$99K |
| 90732 |
|
593 |
273 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,590 |
3,164 |
$34K |
| 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 |
454 |
448 |
$27K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,320 |
693 |
$14K |
| 96127 |
|
12,521 |
11,747 |
$14K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,332 |
786 |
$12K |
| 80305 |
|
3,056 |
1,874 |
$11K |
| 98926 |
|
727 |
601 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,199 |
2,035 |
$9K |
| 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 |
197 |
194 |
$8K |
| 99000 |
|
1,528 |
1,189 |
$6K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
596 |
557 |
$6K |
| 98927 |
|
366 |
338 |
$5K |
| 97162 |
|
268 |
267 |
$4K |
| 99215 |
Prolong outpt/office vis |
119 |
110 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
98 |
98 |
$3K |
| H0001 |
Alcohol and/or drug assessment |
417 |
400 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
398 |
378 |
$3K |
| 99409 |
|
637 |
361 |
$3K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
452 |
186 |
$2K |
| 81025 |
|
1,140 |
822 |
$2K |
| 97039 |
|
650 |
556 |
$2K |
| 97035 |
|
425 |
239 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
102 |
71 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,871 |
1,709 |
$1K |
| 97535 |
Self-care/home management training, each 15 minutes |
183 |
157 |
$1K |
| 99402 |
|
42 |
42 |
$950.87 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
30 |
30 |
$950.70 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
55 |
$819.05 |
| 98925 |
|
59 |
44 |
$621.53 |
| 99408 |
|
177 |
153 |
$586.78 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
145 |
144 |
$499.16 |
| 97161 |
|
55 |
54 |
$498.21 |
| 90686 |
|
90 |
89 |
$409.08 |
| 82962 |
|
290 |
260 |
$355.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
86 |
84 |
$256.36 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
140 |
128 |
$226.35 |
| 96160 |
|
41 |
40 |
$151.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$68.45 |
| 81003 |
|
67 |
66 |
$63.58 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$14.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
480 |
380 |
$0.01 |
| 3075F |
|
850 |
800 |
$0.00 |
| 2000F |
|
296 |
246 |
$0.00 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
1,480 |
1,218 |
$0.00 |
| 94760 |
|
626 |
497 |
$0.00 |
| 3008F |
|
2,919 |
2,673 |
$0.00 |
| 3080F |
|
532 |
493 |
$0.00 |
| 3079F |
|
1,495 |
1,405 |
$0.00 |
| 3351F |
|
233 |
228 |
$0.00 |
| 1125F |
|
146 |
137 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
279 |
273 |
$0.00 |
| 3074F |
|
2,386 |
2,166 |
$0.00 |
| 97010 |
|
195 |
98 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
27 |
27 |
$0.00 |
| 99406 |
|
44 |
37 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
68 |
66 |
$0.00 |
| 3044F |
|
53 |
51 |
$0.00 |
| 36416 |
|
39 |
32 |
$0.00 |
| 97750 |
|
12 |
12 |
$0.00 |
| 3077F |
|
538 |
503 |
$0.00 |
| 3078F |
|
1,809 |
1,646 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
465 |
371 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
69 |
60 |
$0.00 |
| 1159F |
|
125 |
119 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
158 |
158 |
$0.00 |
| 1160F |
|
1,617 |
1,443 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,894 |
2,635 |
$0.00 |
| 99442 |
|
12 |
12 |
$0.00 |