| 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 |
11,065 |
8,962 |
$754K |
| 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 |
3,320 |
2,016 |
$221K |
| 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 |
427 |
415 |
$33K |
| 0012A |
|
856 |
848 |
$25K |
| 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 |
357 |
353 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,842 |
5,949 |
$21K |
| 0011A |
|
745 |
741 |
$16K |
| 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 |
173 |
173 |
$14K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,031 |
1,381 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,998 |
1,850 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
97 |
97 |
$7K |
| 0064A |
|
165 |
165 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,187 |
1,124 |
$1K |
| 81000 |
|
1,309 |
1,232 |
$594.11 |
| 99000 |
|
53 |
41 |
$508.02 |
| 36415 |
Collection of venous blood by venipuncture |
959 |
905 |
$473.61 |
| 0001A |
|
18 |
17 |
$426.35 |
| 0031A |
|
13 |
13 |
$416.35 |
| D0330 |
Panoramic radiographic image |
47 |
46 |
$389.83 |
| 0054A |
|
12 |
12 |
$378.50 |
| 0002A |
|
13 |
13 |
$367.38 |
| D0274 |
Bitewings - four radiographic images |
57 |
55 |
$336.78 |
| 90656 |
|
233 |
229 |
$336.09 |
| 81025 |
|
227 |
213 |
$241.35 |
| 99442 |
|
44 |
40 |
$223.12 |
| D0220 |
Intraoral - periapical first radiographic image |
32 |
27 |
$87.20 |
| 90715 |
|
13 |
13 |
$65.72 |
| 90834 |
Psychotherapy, 45 minutes with patient |
268 |
230 |
$63.79 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
26 |
$55.39 |
| 85018 |
|
377 |
367 |
$51.48 |
| 82962 |
|
219 |
195 |
$50.30 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$42.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$35.00 |
| 91301 |
|
1,183 |
1,124 |
$7.98 |
| 90791 |
Psychiatric diagnostic evaluation |
26 |
26 |
$0.00 |
| 90655 |
|
38 |
38 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |