| 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 |
12,514 |
9,785 |
$459K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,326 |
10,809 |
$371K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,587 |
2,281 |
$136K |
| 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 |
2,311 |
1,329 |
$83K |
| 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 |
1,411 |
1,249 |
$54K |
| T1015 |
Clinic visit/encounter, all-inclusive |
973 |
858 |
$38K |
| 99205 |
Prolong outpt/office vis |
202 |
198 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,193 |
999 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
301 |
240 |
$20K |
| 90834 |
Psychotherapy, 45 minutes with patient |
225 |
132 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
205 |
170 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
366 |
331 |
$13K |
| 98960 |
|
1,958 |
1,635 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
96 |
93 |
$8K |
| Q3014 |
Telehealth originating site facility fee |
313 |
49 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
66 |
65 |
$4K |
| 3078F |
|
2,570 |
2,324 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,935 |
1,548 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
28 |
13 |
$3K |
| 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 |
69 |
59 |
$2K |
| 96127 |
|
847 |
684 |
$2K |
| 3074F |
|
4,085 |
3,620 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
32 |
31 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
52 |
51 |
$2K |
| 99401 |
|
138 |
101 |
$1K |
| 3079F |
|
1,571 |
1,430 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
37 |
37 |
$1K |
| 99385 |
|
13 |
12 |
$906.64 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
18 |
16 |
$853.89 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
47 |
$464.62 |
| 82075 |
|
31 |
31 |
$238.39 |
| 99487 |
Ccm add 20min |
13 |
12 |
$209.51 |
| 99489 |
Ccm add 20min |
13 |
12 |
$125.40 |
| 3077F |
|
651 |
582 |
$95.04 |
| 3075F |
|
159 |
147 |
$50.00 |
| 3080F |
|
324 |
293 |
$35.04 |
| 99070 |
|
467 |
409 |
$30.15 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
12 |
$29.60 |
| 3008F |
|
7,217 |
6,394 |
$1.55 |
| 1159F |
|
47 |
47 |
$0.04 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
443 |
413 |
$0.00 |
| 99072 |
|
931 |
784 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
134 |
90 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
56 |
52 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
35 |
35 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
59 |
48 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
43 |
42 |
$0.00 |
| 1034F |
|
166 |
152 |
$0.00 |
| 4000F |
|
47 |
45 |
$0.00 |
| 99000 |
|
94 |
85 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
379 |
193 |
$0.00 |
| 1111F |
|
25 |
25 |
$0.00 |
| 99606 |
|
30 |
24 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
101 |
95 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
14 |
13 |
$0.00 |