| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
7,562 |
6,454 |
$851K |
| 99213 |
|
2,784 |
2,426 |
$322K |
| 99215 |
Prolong outpt/office vis |
1,102 |
995 |
$154K |
| 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 |
4,180 |
3,786 |
$87K |
| 99395 |
|
411 |
382 |
$80K |
| H0031 |
Mental health assessment, by non-physician |
144 |
116 |
$34K |
| 90834 |
|
202 |
135 |
$32K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
145 |
90 |
$13K |
| 99212 |
|
90 |
81 |
$13K |
| 90837 |
|
70 |
39 |
$9K |
| 90792 |
|
61 |
32 |
$6K |
| 90471 |
|
552 |
512 |
$6K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
73 |
52 |
$883.68 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,273 |
1,130 |
$318.23 |
| 99417 |
Prolong home eval add 15m |
42 |
37 |
$260.84 |
| 96127 |
|
1,442 |
1,262 |
$201.18 |
| 96372 |
|
14 |
14 |
$198.98 |
| 90688 |
|
281 |
267 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
925 |
816 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
127 |
124 |
$0.00 |
| 90686 |
|
103 |
98 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
84 |
84 |
$0.00 |
| 99499 |
|
15 |
15 |
$0.00 |
| 90661 |
|
47 |
47 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$0.00 |
| 90472 |
|
47 |
38 |
$0.00 |
| 90715 |
|
23 |
23 |
$0.00 |