| 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 |
61,988 |
49,180 |
$5.07M |
| 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 |
17,031 |
14,321 |
$1.55M |
| 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 |
3,767 |
3,746 |
$293K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,147 |
18,588 |
$274K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,660 |
30,916 |
$238K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,197 |
1,193 |
$32K |
| H0031 |
Mental health assessment, by non-physician |
1,721 |
1,716 |
$27K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
9,379 |
8,457 |
$25K |
| 90791 |
Psychiatric diagnostic evaluation |
1,167 |
1,139 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,732 |
1,709 |
$17K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
829 |
825 |
$17K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,518 |
2,193 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
684 |
674 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
869 |
867 |
$9K |
| 90632 |
|
249 |
246 |
$7K |
| 90688 |
|
963 |
957 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,272 |
2,262 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,114 |
2,080 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
148 |
117 |
$5K |
| 93000 |
|
1,152 |
1,140 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
593 |
497 |
$4K |
| 82962 |
|
3,267 |
3,053 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
562 |
551 |
$3K |
| 90715 |
|
167 |
163 |
$3K |
| 90658 |
|
119 |
119 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
333 |
323 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
121 |
104 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
196 |
193 |
$2K |
| 81025 |
|
738 |
719 |
$1K |
| 99215 |
Prolong outpt/office vis |
68 |
63 |
$1K |
| 90671 |
|
13 |
13 |
$984.80 |
| 90732 |
|
13 |
12 |
$911.25 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
616 |
598 |
$905.92 |
| 81002 |
|
1,287 |
1,251 |
$837.74 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
126 |
126 |
$573.29 |
| 90746 |
|
27 |
27 |
$563.04 |
| 96127 |
|
268 |
266 |
$403.41 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
107 |
107 |
$345.60 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
48 |
44 |
$246.85 |
| 99406 |
|
30 |
30 |
$129.92 |
| 94010 |
|
12 |
12 |
$101.96 |
| 20610 |
|
13 |
12 |
$70.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
66 |
61 |
$66.56 |
| 99201 |
|
12 |
12 |
$51.10 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$40.40 |
| 99442 |
|
66 |
57 |
$30.90 |
| 99173 |
|
1,601 |
1,589 |
$5.00 |
| 3080F |
|
559 |
550 |
$0.00 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
4,435 |
4,182 |
$0.00 |
| 3074F |
|
1,064 |
1,045 |
$0.00 |
| 3079F |
|
1,046 |
1,032 |
$0.00 |
| 3044F |
|
949 |
946 |
$0.00 |
| 3075F |
|
669 |
663 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$0.00 |
| 3077F |
|
829 |
813 |
$0.00 |
| 3078F |
|
955 |
936 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
79 |
78 |
$0.00 |
| 3046F |
|
42 |
40 |
$0.00 |