| 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 |
51,797 |
19,776 |
$6.73M |
| 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 |
35,621 |
30,050 |
$2.57M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,777 |
31,089 |
$1.22M |
| 90834 |
Psychotherapy, 45 minutes with patient |
24,091 |
10,040 |
$949K |
| 90832 |
Psychotherapy, 30 minutes with patient |
19,565 |
9,148 |
$448K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,252 |
2,160 |
$407K |
| 90837 |
Psychotherapy, 53 minutes with patient |
9,303 |
3,929 |
$323K |
| 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 |
2,613 |
2,539 |
$171K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,800 |
4,140 |
$137K |
| 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 |
585 |
538 |
$62K |
| 98960 |
|
2,108 |
1,714 |
$36K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
439 |
405 |
$32K |
| 90791 |
Psychiatric diagnostic evaluation |
1,782 |
1,602 |
$29K |
| 96160 |
|
8,072 |
7,557 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
444 |
412 |
$8K |
| 99385 |
|
86 |
82 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
139 |
121 |
$3K |
| 0012A |
|
71 |
68 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
90 |
$2K |
| 0011A |
|
80 |
73 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
83 |
83 |
$645.54 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$571.94 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
50 |
44 |
$488.10 |
| 93000 |
|
26 |
26 |
$271.70 |
| 0064A |
|
15 |
14 |
$145.60 |
| 97803 |
|
10,996 |
9,171 |
$30.24 |
| 94760 |
|
4,124 |
3,000 |
$17.20 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
681 |
659 |
$0.91 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
76 |
71 |
$0.07 |
| 1036F |
|
720 |
684 |
$0.06 |
| 4000F |
|
1,420 |
1,240 |
$0.01 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,072 |
1,006 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
954 |
889 |
$0.00 |
| G0030 |
Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user |
33 |
32 |
$0.00 |
| 90785 |
|
564 |
472 |
$0.00 |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
101 |
34 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,022 |
912 |
$0.00 |
| 4004F |
|
26 |
22 |
$0.00 |
| 99382 |
|
29 |
29 |
$0.00 |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
13 |
12 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
13 |
12 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
4,567 |
1,504 |
$0.00 |
| 90686 |
|
29 |
29 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
865 |
821 |
$0.00 |
| 99384 |
|
77 |
77 |
$0.00 |
| 99383 |
|
62 |
61 |
$0.00 |
| 3008F |
|
32 |
26 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
227 |
222 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
345 |
315 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
463 |
426 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
389 |
353 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
67 |
40 |
$0.00 |
| 91301 |
|
210 |
187 |
$0.00 |
| 96112 |
|
14 |
14 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
17 |
13 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
30 |
30 |
$0.00 |
| 0513F |
|
12 |
12 |
$0.00 |