| 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 |
8,769 |
7,760 |
$625K |
| 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 |
5,019 |
2,886 |
$359K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,027 |
5,315 |
$26K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,698 |
2,212 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,441 |
1,433 |
$10K |
| D1110 |
Prophylaxis - adult |
67 |
67 |
$3K |
| 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 |
38 |
38 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
149 |
146 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,402 |
1,380 |
$2K |
| D0274 |
Bitewings - four radiographic images |
58 |
58 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
240 |
240 |
$1K |
| 92551 |
|
2,245 |
2,234 |
$1K |
| 90651 |
|
237 |
235 |
$922.70 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,570 |
4,218 |
$820.38 |
| D0120 |
Periodic oral evaluation - established patient |
30 |
30 |
$820.00 |
| 90734 |
|
285 |
285 |
$658.07 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
378 |
376 |
$655.46 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
900 |
839 |
$522.06 |
| 0001A |
|
17 |
17 |
$508.35 |
| 90620 |
|
134 |
133 |
$490.00 |
| 0071A |
|
14 |
14 |
$396.25 |
| 90834 |
Psychotherapy, 45 minutes with patient |
18 |
14 |
$260.10 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
34 |
26 |
$241.60 |
| 81025 |
|
54 |
52 |
$101.75 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$81.34 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
280 |
277 |
$75.98 |
| 99406 |
|
15 |
13 |
$24.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$13.69 |
| 90715 |
|
72 |
72 |
$0.00 |
| 90656 |
|
35 |
34 |
$0.00 |
| 36416 |
|
27 |
26 |
$0.00 |
| 94760 |
|
15 |
15 |
$0.00 |
| 94014 |
|
13 |
13 |
$0.00 |