| 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 |
45,615 |
38,908 |
$2.99M |
| 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 |
4,036 |
3,859 |
$281K |
| 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 |
3,749 |
2,705 |
$228K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,197 |
24,735 |
$65K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
501 |
487 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,007 |
6,747 |
$20K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,621 |
1,319 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,227 |
6,061 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,437 |
1,382 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,182 |
1,137 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
5,319 |
4,812 |
$5K |
| 82962 |
|
8,211 |
7,649 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
946 |
785 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,061 |
1,047 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,027 |
2,809 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,074 |
1,984 |
$4K |
| 0011A |
|
214 |
210 |
$4K |
| 81025 |
|
2,640 |
2,520 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
255 |
222 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
743 |
731 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
863 |
754 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,193 |
1,192 |
$2K |
| 0001A |
|
158 |
153 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
294 |
278 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
925 |
871 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$2K |
| 99385 |
|
305 |
294 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
272 |
262 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
233 |
231 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
209 |
207 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
155 |
154 |
$1K |
| 81000 |
|
1,513 |
1,421 |
$1K |
| 86703 |
|
688 |
650 |
$1K |
| 90674 |
|
410 |
406 |
$1K |
| 0012A |
|
41 |
41 |
$1K |
| 90756 |
|
303 |
299 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
193 |
186 |
$876.44 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
257 |
257 |
$763.54 |
| 90732 |
|
81 |
75 |
$711.00 |
| 90715 |
|
109 |
107 |
$618.38 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
440 |
392 |
$599.05 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
78 |
75 |
$592.47 |
| 99386 |
|
129 |
128 |
$408.32 |
| 57410 |
|
46 |
46 |
$362.52 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
197 |
106 |
$300.40 |
| 90670 |
|
133 |
130 |
$228.00 |
| 86580 |
|
129 |
127 |
$217.17 |
| 92551 |
|
177 |
163 |
$194.04 |
| 81001 |
|
317 |
307 |
$152.13 |
| 90650 |
|
12 |
12 |
$130.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
13 |
$123.97 |
| 99215 |
Prolong outpt/office vis |
36 |
34 |
$105.19 |
| 99382 |
|
13 |
12 |
$93.36 |
| 90658 |
|
13 |
13 |
$79.59 |
| 96127 |
|
87 |
87 |
$50.09 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
30 |
30 |
$40.60 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
455 |
438 |
$39.64 |
| 93000 |
|
12 |
12 |
$38.04 |
| 99408 |
|
43 |
43 |
$30.46 |
| 36416 |
|
71 |
65 |
$25.00 |
| 80053 |
Comprehensive metabolic panel |
1,674 |
1,605 |
$21.15 |
| 85610 |
|
13 |
12 |
$18.10 |
| 80061 |
Lipid panel |
1,282 |
1,229 |
$12.53 |
| 83655 |
|
151 |
147 |
$12.38 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,825 |
1,752 |
$12.11 |
| 87088 |
|
12 |
12 |
$7.94 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,591 |
1,579 |
$0.00 |
| 99173 |
|
408 |
383 |
$0.00 |
| 82570 |
|
299 |
288 |
$0.00 |
| 80074 |
|
195 |
188 |
$0.00 |
| 84439 |
|
153 |
148 |
$0.00 |
| 99401 |
|
546 |
529 |
$0.00 |
| 87799 |
|
440 |
417 |
$0.00 |
| 96160 |
|
20 |
20 |
$0.00 |
| 90734 |
|
52 |
52 |
$0.00 |
| 90710 |
|
37 |
35 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
30 |
30 |
$0.00 |
| 90633 |
|
28 |
28 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
428 |
411 |
$0.00 |
| 97803 |
|
13 |
13 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
102 |
99 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
190 |
186 |
$0.00 |
| 0001F |
|
29,378 |
26,707 |
$0.00 |
| V5008 |
Hearing screening |
82 |
81 |
$0.00 |
| 86592 |
|
230 |
226 |
$0.00 |
| 1036F |
|
3,563 |
3,141 |
$0.00 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
8,490 |
8,288 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
936 |
896 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
368 |
352 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
15 |
$0.00 |
| 1000F |
|
5,649 |
4,886 |
$0.00 |
| 90698 |
|
26 |
26 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
37 |
37 |
$0.00 |
| 91301 |
|
132 |
130 |
$0.00 |
| 1034F |
|
1,723 |
1,518 |
$0.00 |
| 99383 |
|
30 |
29 |
$0.00 |
| 99384 |
|
32 |
32 |
$0.00 |
| 85027 |
|
147 |
145 |
$0.00 |
| 90634 |
|
13 |
12 |
$0.00 |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
55 |
55 |
$0.00 |
| 88142 |
|
168 |
164 |
$0.00 |
| 90696 |
|
30 |
30 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
232 |
223 |
$0.00 |
| 90651 |
|
29 |
29 |
$0.00 |
| 94760 |
|
48 |
47 |
$0.00 |
| 82728 |
|
81 |
78 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
103 |
99 |
$0.00 |
| 82607 |
|
15 |
14 |
$0.00 |
| 90686 |
|
19 |
18 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$0.00 |