| 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 |
31,393 |
23,853 |
$2.90M |
| 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 |
5,821 |
3,037 |
$1.64M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,409 |
22,049 |
$1.24M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,299 |
21,857 |
$1.01M |
| 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 |
2,407 |
2,195 |
$236K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,955 |
5,571 |
$213K |
| 90834 |
Psychotherapy, 45 minutes with patient |
3,178 |
1,662 |
$145K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,275 |
650 |
$115K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
4,665 |
1,886 |
$110K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,026 |
1,568 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
849 |
777 |
$60K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
904 |
805 |
$41K |
| 90461 |
|
1,748 |
1,638 |
$31K |
| H0038 |
Self-help/peer services, per 15 minutes |
3,965 |
1,324 |
$26K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
1,394 |
449 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,292 |
1,194 |
$21K |
| 80305 |
|
3,282 |
2,271 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
277 |
262 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
218 |
200 |
$15K |
| 92551 |
|
2,461 |
2,298 |
$13K |
| 99215 |
Prolong outpt/office vis |
141 |
121 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
152 |
141 |
$12K |
| 97802 |
|
198 |
166 |
$10K |
| S9480 |
Intensive outpatient psychiatric services, per diem |
159 |
76 |
$9K |
| 96127 |
|
2,544 |
2,253 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
557 |
482 |
$7K |
| 90686 |
|
3,083 |
2,895 |
$6K |
| 96160 |
|
4,247 |
3,900 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
47 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
86 |
80 |
$4K |
| 99443 |
|
160 |
135 |
$3K |
| 90756 |
|
117 |
113 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$1K |
| 99442 |
|
86 |
62 |
$1K |
| 99417 |
Prolong home eval add 15m |
61 |
52 |
$840.06 |
| 90480 |
|
26 |
26 |
$792.10 |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
12 |
$764.52 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
37 |
33 |
$735.01 |
| 90656 |
|
78 |
75 |
$396.45 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
12 |
12 |
$369.24 |
| 90651 |
|
79 |
74 |
$192.09 |
| 90670 |
|
173 |
164 |
$139.49 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
49 |
45 |
$119.49 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$79.18 |
| 85018 |
|
26 |
25 |
$35.02 |
| 91307 |
|
33 |
25 |
$0.14 |
| 91305 |
|
23 |
19 |
$0.12 |
| 90697 |
|
14 |
12 |
$0.04 |
| 90619 |
|
12 |
12 |
$0.01 |
| 99173 |
|
2,453 |
2,270 |
$0.00 |
| 90633 |
|
27 |
25 |
$0.00 |
| 90734 |
|
33 |
31 |
$0.00 |
| 90658 |
|
130 |
128 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 3078F |
|
15 |
14 |
$0.00 |
| 90648 |
|
13 |
12 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,263 |
1,024 |
$0.00 |
| 3074F |
|
31 |
30 |
$0.00 |
| 90674 |
|
15 |
14 |
$0.00 |