| 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 |
71,821 |
62,406 |
$3.68M |
| D7140 |
|
7,290 |
3,961 |
$674K |
| D0120 |
|
5,868 |
5,796 |
$462K |
| 99213 |
|
36,098 |
32,932 |
$437K |
| D0150 |
|
4,283 |
4,252 |
$385K |
| D1110 |
|
4,027 |
4,003 |
$379K |
| 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 |
4,536 |
4,519 |
$280K |
| 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 |
4,688 |
4,632 |
$272K |
| D0140 |
|
2,955 |
2,877 |
$262K |
| 99214 |
|
13,636 |
12,967 |
$220K |
| D2391 |
|
1,619 |
1,178 |
$171K |
| 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 |
3,652 |
3,306 |
$167K |
| D2392 |
|
1,036 |
853 |
$135K |
| D0210 |
|
3,635 |
3,600 |
$105K |
| 99212 |
|
10,458 |
9,695 |
$80K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,203 |
1,185 |
$73K |
| D0274 |
|
2,777 |
2,745 |
$56K |
| D7210 |
|
432 |
380 |
$55K |
| 99392 |
|
1,780 |
1,765 |
$45K |
| 90832 |
|
3,024 |
2,766 |
$43K |
| 90651 |
|
796 |
793 |
$41K |
| V2020 |
Frames, purchases |
1,910 |
1,864 |
$41K |
| 92012 |
|
3,471 |
3,327 |
$39K |
| 90460 |
|
4,325 |
4,229 |
$36K |
| D1120 |
|
847 |
841 |
$33K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,466 |
2,445 |
$32K |
| 99396 |
|
1,240 |
1,233 |
$30K |
| 99395 |
|
1,428 |
1,422 |
$30K |
| D0220 |
|
3,705 |
3,611 |
$28K |
| 59426 |
|
92 |
52 |
$26K |
| 99391 |
|
1,380 |
1,338 |
$24K |
| D1206 |
|
1,070 |
1,060 |
$24K |
| 99393 |
|
1,150 |
1,145 |
$23K |
| 90632 |
|
621 |
615 |
$18K |
| 99203 |
|
1,324 |
1,315 |
$17K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,373 |
1,356 |
$17K |
| 99204 |
|
648 |
648 |
$16K |
| 99394 |
|
554 |
552 |
$15K |
| 90471 |
|
3,964 |
3,915 |
$15K |
| 92340 |
|
1,025 |
1,002 |
$13K |
| D0272 |
|
592 |
587 |
$13K |
| 90715 |
|
1,300 |
1,288 |
$13K |
| 92341 |
|
838 |
812 |
$12K |
| 90688 |
|
1,469 |
1,448 |
$11K |
| 90791 |
|
397 |
388 |
$9K |
| 90472 |
|
1,427 |
1,414 |
$9K |
| 90671 |
|
222 |
220 |
$8K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,455 |
1,289 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
624 |
612 |
$7K |
| 90746 |
|
228 |
226 |
$7K |
| 90750 |
|
163 |
163 |
$7K |
| 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 |
135 |
132 |
$6K |
| 92014 |
|
278 |
277 |
$6K |
| 91322 |
|
97 |
97 |
$5K |
| 81025 |
|
2,129 |
2,085 |
$5K |
| D4355 |
|
54 |
54 |
$5K |
| 81002 |
|
4,888 |
4,778 |
$5K |
| D2393 |
|
29 |
28 |
$5K |
| 82962 |
|
4,349 |
4,065 |
$5K |
| 99215 |
Prolong outpt/office vis |
256 |
245 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
385 |
370 |
$4K |
| 99244 |
|
137 |
137 |
$4K |
| 51798 |
|
1,536 |
1,510 |
$3K |
| 90732 |
|
66 |
65 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
320 |
312 |
$3K |
| 99202 |
|
273 |
272 |
$3K |
| 59430 |
|
69 |
67 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
497 |
497 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
507 |
507 |
$3K |
| 92015 |
|
442 |
434 |
$2K |
| 99205 |
Prolong outpt/office vis |
77 |
77 |
$2K |
| D1351 |
|
83 |
27 |
$2K |
| 99381 |
|
92 |
90 |
$2K |
| 90620 |
|
65 |
64 |
$2K |
| 90670 |
|
1,154 |
1,145 |
$2K |
| 96372 |
|
1,063 |
1,045 |
$2K |
| 90480 |
|
100 |
100 |
$2K |
| 92002 |
|
204 |
203 |
$2K |
| D0191 |
|
143 |
143 |
$2K |
| 90656 |
|
102 |
102 |
$2K |
| 96156 |
|
94 |
94 |
$1K |
| 90707 |
|
646 |
644 |
$1K |
| 90686 |
|
452 |
449 |
$1K |
| 99383 |
|
44 |
44 |
$1K |
| 87880 |
|
175 |
172 |
$1K |
| 90716 |
|
610 |
609 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
96 |
94 |
$938.88 |
| 99000 |
|
192 |
191 |
$886.43 |
| 71046 |
|
140 |
139 |
$874.34 |
| 0064A |
|
70 |
70 |
$842.92 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
629 |
597 |
$811.42 |
| 90734 |
|
216 |
214 |
$625.40 |
| D0145 |
|
13 |
13 |
$392.00 |
| D1208 |
|
16 |
16 |
$384.00 |
| 87804 |
|
104 |
103 |
$383.85 |
| 87210 |
|
185 |
184 |
$369.76 |
| 72110 |
|
12 |
12 |
$215.71 |
| 99385 |
|
12 |
12 |
$198.74 |
| 99382 |
|
13 |
13 |
$186.72 |
| 83036 |
|
108 |
106 |
$168.84 |
| 99211 |
|
15 |
15 |
$117.63 |
| 92083 |
|
13 |
13 |
$109.35 |
| 93005 |
|
40 |
39 |
$80.75 |
| 72100 |
|
12 |
12 |
$56.22 |
| 83655 |
|
20 |
20 |
$50.15 |
| V2756 |
Eye glass case |
1,263 |
1,234 |
$47.25 |
| 86580 |
|
14 |
13 |
$38.00 |
| 93000 |
|
12 |
12 |
$36.64 |
| 99441 |
|
56 |
52 |
$31.68 |
| 99442 |
|
27 |
26 |
$30.90 |
| 90744 |
|
371 |
368 |
$29.89 |
| 90633 |
|
607 |
605 |
$0.00 |
| 3725F |
|
277 |
246 |
$0.00 |
| 90700 |
|
460 |
456 |
$0.00 |
| 90461 |
|
2,581 |
2,536 |
$0.00 |
| 3077F |
|
2,993 |
2,801 |
$0.00 |
| 90713 |
|
126 |
126 |
$0.00 |
| 3078F |
|
4,177 |
3,892 |
$0.00 |
| 2022F |
|
895 |
893 |
$0.00 |
| 3046F |
|
107 |
94 |
$0.00 |
| 3045F |
|
138 |
127 |
$0.00 |
| 3050F |
|
297 |
274 |
$0.00 |
| 4001F |
|
18 |
17 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
108 |
108 |
$0.00 |
| 1159F |
|
363 |
339 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
38 |
38 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |
| 1160F |
|
369 |
345 |
$0.00 |
| 0502F |
|
207 |
17 |
$0.00 |
| 3079F |
|
4,855 |
4,620 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
244 |
243 |
$0.00 |
| 90698 |
|
820 |
815 |
$0.00 |
| 3049F |
|
526 |
484 |
$0.00 |
| 3008F |
|
9,042 |
8,247 |
$0.00 |
| 3075F |
|
2,358 |
2,290 |
$0.00 |
| 3044F |
|
1,998 |
1,830 |
$0.00 |
| 3048F |
|
919 |
848 |
$0.00 |
| 3080F |
|
3,184 |
2,971 |
$0.00 |
| 3074F |
|
6,885 |
6,336 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
241 |
232 |
$0.00 |
| 90619 |
|
127 |
127 |
$0.00 |
| 90680 |
|
185 |
183 |
$0.00 |
| 1036F |
|
291 |
261 |
$0.00 |
| 1126F |
|
61 |
61 |
$0.00 |
| 1034F |
|
13 |
13 |
$0.00 |
| 1125F |
|
86 |
86 |
$0.00 |
| 4000F |
|
12 |
12 |
$0.00 |