| 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 |
31,121 |
26,010 |
$2.00M |
| 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 |
4,075 |
2,754 |
$301K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,522 |
1,240 |
$256K |
| D0140 |
Limited oral evaluation - problem focused |
1,961 |
1,931 |
$208K |
| D1110 |
Prophylaxis - adult |
1,631 |
1,629 |
$154K |
| 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 |
1,443 |
1,431 |
$103K |
| D0120 |
Periodic oral evaluation - established patient |
1,023 |
1,022 |
$74K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
907 |
907 |
$74K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
484 |
381 |
$55K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
320 |
274 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,342 |
17,521 |
$28K |
| D0210 |
Intraoral - complete series of radiographic images |
653 |
644 |
$24K |
| D0220 |
Intraoral - periapical first radiographic image |
2,885 |
2,835 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,565 |
7,136 |
$14K |
| D0274 |
Bitewings - four radiographic images |
676 |
676 |
$13K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,018 |
929 |
$5K |
| D1120 |
Prophylaxis - child |
120 |
120 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,264 |
940 |
$5K |
| D4355 |
|
26 |
26 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
149 |
149 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,455 |
1,103 |
$2K |
| 99215 |
Prolong outpt/office vis |
414 |
405 |
$2K |
| 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 |
13 |
12 |
$2K |
| 99385 |
|
133 |
133 |
$1K |
| 80305 |
|
3,590 |
3,167 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
938 |
886 |
$967.15 |
| 90791 |
Psychiatric diagnostic evaluation |
207 |
203 |
$837.56 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
145 |
145 |
$772.45 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,462 |
2,456 |
$620.32 |
| 99406 |
|
1,730 |
1,586 |
$614.68 |
| D1206 |
Topical application of fluoride varnish |
17 |
17 |
$497.28 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
57 |
$460.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
535 |
529 |
$276.98 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$249.75 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,687 |
433 |
$206.76 |
| 90688 |
|
441 |
439 |
$201.80 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
102 |
101 |
$179.78 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
125 |
123 |
$176.58 |
| 92250 |
|
108 |
108 |
$157.67 |
| 90837 |
Psychotherapy, 53 minutes with patient |
450 |
331 |
$150.56 |
| 99386 |
|
26 |
26 |
$117.10 |
| 82274 |
|
106 |
106 |
$102.41 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$81.34 |
| 97014 |
|
485 |
136 |
$58.64 |
| 81002 |
|
397 |
390 |
$31.68 |
| 90715 |
|
25 |
25 |
$30.90 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
65 |
64 |
$28.00 |
| 81025 |
|
39 |
32 |
$14.26 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
734 |
239 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
42 |
12 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
13 |
13 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
55 |
49 |
$0.00 |
| 3008F |
|
56 |
54 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
14 |
14 |
$0.00 |
| 97161 |
|
25 |
25 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
230 |
225 |
$0.00 |
| 0521F |
|
424 |
419 |
$0.00 |
| 2028F |
|
56 |
56 |
$0.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
66 |
45 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
17 |
17 |
$0.00 |