| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
5,044 |
2,527 |
$1.43M |
| 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 |
3,868 |
3,307 |
$1.11M |
| 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 |
345 |
320 |
$70K |
| D0120 |
Periodic oral evaluation - established patient |
653 |
653 |
$66K |
| D1110 |
Prophylaxis - adult |
212 |
212 |
$57K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,725 |
1,547 |
$7K |
| D4910 |
|
27 |
27 |
$6K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
20 |
12 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,106 |
1,875 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$4K |
| D1120 |
Prophylaxis - child |
60 |
60 |
$2K |
| D1206 |
Topical application of fluoride varnish |
89 |
89 |
$2K |
| 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 |
12 |
12 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
45 |
45 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
572 |
537 |
$1K |
| 0012A |
|
31 |
31 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
757 |
481 |
$893.98 |
| 0011A |
|
38 |
38 |
$597.29 |
| D0274 |
Bitewings - four radiographic images |
27 |
27 |
$209.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
76 |
73 |
$78.65 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$66.57 |
| 90686 |
|
30 |
29 |
$38.06 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
49 |
$32.88 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
71 |
70 |
$32.16 |
| 80053 |
Comprehensive metabolic panel |
41 |
39 |
$26.22 |
| 36415 |
Collection of venous blood by venipuncture |
75 |
73 |
$21.71 |
| 80061 |
Lipid panel |
14 |
13 |
$13.08 |
| 90832 |
Psychotherapy, 30 minutes with patient |
59 |
50 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
17 |
16 |
$0.00 |
| 3008F |
|
211 |
200 |
$0.00 |