| 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 |
59,653 |
50,959 |
$4.06M |
| 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 |
12,163 |
8,076 |
$874K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,059 |
33,270 |
$141K |
| 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 |
1,381 |
1,359 |
$107K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
629 |
618 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,715 |
12,790 |
$41K |
| 90832 |
Psychotherapy, 30 minutes with patient |
9,262 |
6,397 |
$35K |
| 90791 |
Psychiatric diagnostic evaluation |
1,479 |
1,442 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,099 |
1,090 |
$13K |
| G9002 |
Coordinated care fee, maintenance rate |
912 |
749 |
$11K |
| 90651 |
|
275 |
268 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,057 |
1,051 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,891 |
2,859 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,605 |
7,497 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
881 |
865 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
697 |
685 |
$6K |
| 90632 |
|
662 |
656 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,035 |
1,017 |
$5K |
| 99406 |
|
5,720 |
5,455 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
560 |
559 |
$5K |
| 0064A |
|
185 |
185 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,947 |
3,906 |
$4K |
| 0001A |
|
145 |
145 |
$4K |
| 90746 |
|
633 |
625 |
$4K |
| 0124A |
|
235 |
235 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,168 |
2,149 |
$3K |
| 81025 |
|
1,967 |
1,899 |
$3K |
| 90670 |
|
741 |
726 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
343 |
341 |
$2K |
| 98966 |
|
682 |
530 |
$2K |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
4,184 |
4,146 |
$2K |
| 0002A |
|
77 |
77 |
$2K |
| 90480 |
|
115 |
115 |
$2K |
| 96156 |
|
369 |
345 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,418 |
1,373 |
$2K |
| 92551 |
|
2,687 |
2,669 |
$2K |
| 0054A |
|
76 |
76 |
$2K |
| 0004A |
|
40 |
40 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
454 |
432 |
$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 |
12 |
12 |
$1K |
| 87210 |
|
1,059 |
1,033 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,174 |
992 |
$1K |
| 81003 |
|
2,052 |
1,972 |
$938.33 |
| 36416 |
|
5,675 |
5,453 |
$839.91 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
220 |
210 |
$838.14 |
| 90834 |
Psychotherapy, 45 minutes with patient |
219 |
170 |
$787.47 |
| 90716 |
|
237 |
235 |
$749.45 |
| 82947 |
|
2,497 |
2,413 |
$736.59 |
| 0052A |
|
27 |
27 |
$720.18 |
| 98967 |
|
139 |
122 |
$610.77 |
| 99188 |
|
678 |
677 |
$593.85 |
| 0072A |
|
14 |
14 |
$490.14 |
| 0071A |
|
19 |
19 |
$457.10 |
| 90707 |
|
226 |
224 |
$424.35 |
| 83655 |
|
197 |
188 |
$388.69 |
| 80061 |
Lipid panel |
755 |
749 |
$370.71 |
| 85018 |
|
668 |
654 |
$298.69 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
38 |
18 |
$291.26 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
90 |
$269.14 |
| 90734 |
|
158 |
157 |
$245.74 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
143 |
132 |
$242.14 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
146 |
145 |
$174.21 |
| 90715 |
|
117 |
113 |
$160.70 |
| 90620 |
|
125 |
120 |
$154.01 |
| 90714 |
|
50 |
50 |
$136.60 |
| 91320 |
|
105 |
105 |
$131.10 |
| 92588 |
|
35 |
35 |
$122.31 |
| 99381 |
|
17 |
17 |
$86.72 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
18,412 |
16,874 |
$78.01 |
| 36415 |
Collection of venous blood by venipuncture |
168 |
158 |
$63.62 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$61.92 |
| 96160 |
|
475 |
422 |
$51.02 |
| 93000 |
|
26 |
26 |
$30.43 |
| 90473 |
|
12 |
12 |
$3.30 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
5,131 |
4,788 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
135 |
128 |
$0.00 |
| 90633 |
|
225 |
223 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90700 |
|
17 |
17 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
22 |
14 |
$0.00 |
| 90723 |
|
352 |
347 |
$0.00 |
| 94760 |
|
1,677 |
1,600 |
$0.00 |
| 90647 |
|
390 |
382 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
357 |
353 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90696 |
|
38 |
38 |
$0.00 |
| G0010 |
Administration of hepatitis b vaccine |
38 |
38 |
$0.00 |