| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2315 |
Injection, naltrexone, depot form, 1 mg |
3,033 |
2,915 |
$3.82M |
| 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 |
8,140 |
7,200 |
$789K |
| 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 |
4,986 |
4,343 |
$515K |
| 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 |
1,221 |
1,216 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,703 |
2,495 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,570 |
4,145 |
$24K |
| 90832 |
Psychotherapy, 30 minutes with patient |
914 |
750 |
$8K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,642 |
2,481 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
274 |
274 |
$3K |
| H0031 |
Mental health assessment, by non-physician |
154 |
154 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
258 |
253 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
70 |
65 |
$724.79 |
| 81025 |
|
498 |
440 |
$706.96 |
| 36415 |
Collection of venous blood by venipuncture |
249 |
234 |
$281.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
65 |
$254.02 |
| 90658 |
|
12 |
12 |
$210.32 |
| 90688 |
|
24 |
22 |
$102.40 |
| 81002 |
|
133 |
131 |
$84.28 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$84.00 |
| H0001 |
Alcohol and/or drug assessment |
13 |
13 |
$61.48 |
| 96127 |
|
38 |
38 |
$57.12 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$14.40 |
| 3077F |
|
28 |
25 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
162 |
160 |
$0.00 |
| 82075 |
|
96 |
95 |
$0.00 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
943 |
810 |
$0.00 |
| 3079F |
|
14 |
13 |
$0.00 |