| 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 |
13,449 |
12,249 |
$828K |
| 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 |
2,321 |
1,673 |
$133K |
| 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 |
907 |
876 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,399 |
6,837 |
$44K |
| 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 |
653 |
644 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,482 |
3,336 |
$29K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,022 |
794 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
5,133 |
4,930 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
612 |
596 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,006 |
981 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
164 |
164 |
$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 |
38 |
36 |
$2K |
| 0012A |
|
51 |
51 |
$2K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
598 |
537 |
$2K |
| 90686 |
|
616 |
610 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
456 |
440 |
$1K |
| 0011A |
|
52 |
52 |
$1K |
| 96127 |
|
1,285 |
1,238 |
$979.48 |
| D1110 |
Prophylaxis - adult |
40 |
40 |
$970.20 |
| 83655 |
|
206 |
190 |
$613.96 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
46 |
$565.95 |
| 90674 |
|
56 |
56 |
$541.99 |
| 90480 |
|
35 |
35 |
$531.86 |
| 0002A |
|
14 |
14 |
$507.66 |
| D0120 |
Periodic oral evaluation - established patient |
35 |
35 |
$506.26 |
| 92551 |
|
389 |
385 |
$503.33 |
| 81002 |
|
1,054 |
1,026 |
$502.26 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
51 |
$488.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
110 |
105 |
$449.63 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
113 |
112 |
$429.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
141 |
$422.94 |
| 90656 |
|
36 |
36 |
$402.30 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
40 |
40 |
$396.65 |
| 90837 |
Psychotherapy, 53 minutes with patient |
15 |
14 |
$301.12 |
| 82962 |
|
771 |
745 |
$287.26 |
| 81025 |
|
233 |
223 |
$275.56 |
| 90715 |
|
54 |
54 |
$260.61 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$194.04 |
| 85018 |
|
219 |
201 |
$147.04 |
| 99000 |
|
12 |
12 |
$141.68 |
| 93000 |
|
108 |
108 |
$109.84 |
| 90834 |
Psychotherapy, 45 minutes with patient |
14 |
13 |
$103.80 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$85.18 |
| 90688 |
|
17 |
17 |
$71.36 |
| 82948 |
|
343 |
315 |
$66.66 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$47.19 |
| 99406 |
|
17 |
17 |
$17.82 |
| 96160 |
|
88 |
88 |
$1.58 |
| 3075F |
|
189 |
186 |
$0.00 |
| 3079F |
|
528 |
513 |
$0.00 |
| 3074F |
|
450 |
438 |
$0.00 |
| 3080F |
|
199 |
190 |
$0.00 |
| 91301 |
|
104 |
103 |
$0.00 |
| 36416 |
|
217 |
205 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
61 |
53 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
65 |
43 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |
| 3078F |
|
369 |
361 |
$0.00 |
| 3077F |
|
481 |
457 |
$0.00 |
| 90461 |
|
168 |
166 |
$0.00 |
| 99173 |
|
199 |
197 |
$0.00 |
| 91322 |
|
32 |
32 |
$0.00 |
| 91300 |
|
42 |
38 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
50 |
41 |
$0.00 |
| 90670 |
|
18 |
16 |
$0.00 |