| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,218 |
13,878 |
$957K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,720 |
5,147 |
$534K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,342 |
2,328 |
$170K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,406 |
1,331 |
$67K |
| 99397 |
|
1,021 |
1,019 |
$67K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
624 |
621 |
$39K |
| 99401 |
|
7,792 |
7,209 |
$35K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
3,840 |
3,814 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,779 |
1,759 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,773 |
1,692 |
$22K |
| 90688 |
|
1,251 |
1,240 |
$21K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,066 |
3,574 |
$18K |
| 93000 |
|
1,447 |
1,436 |
$14K |
| 3074F |
|
8,328 |
7,226 |
$9K |
| 90662 |
|
134 |
134 |
$8K |
| 3078F |
|
7,773 |
6,777 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
88 |
$8K |
| 99497 |
|
193 |
191 |
$6K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,196 |
4,160 |
$6K |
| 99442 |
|
135 |
113 |
$4K |
| 3079F |
|
3,928 |
3,637 |
$4K |
| 90656 |
|
188 |
188 |
$4K |
| 3075F |
|
3,110 |
2,902 |
$3K |
| 90686 |
|
166 |
163 |
$3K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
250 |
241 |
$3K |
| 99441 |
|
139 |
109 |
$2K |
| 3077F |
|
1,429 |
1,335 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
4,069 |
4,008 |
$1K |
| 99406 |
|
221 |
213 |
$901.52 |
| 1159F |
|
12,395 |
10,113 |
$640.02 |
| 1160F |
|
14,190 |
11,184 |
$495.02 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
29 |
29 |
$457.08 |
| 3080F |
|
214 |
199 |
$432.59 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
723 |
655 |
$195.65 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
43 |
43 |
$143.66 |
| 1125F |
|
1,731 |
1,619 |
$125.05 |
| 1126F |
|
2,383 |
2,169 |
$70.10 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
42 |
42 |
$52.45 |
| 81003 |
|
35 |
35 |
$41.38 |
| 1170F |
|
170 |
168 |
$30.00 |
| H0001 |
Alcohol and/or drug assessment |
2,548 |
2,539 |
$18.88 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
1,531 |
1,395 |
$2.71 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
15,822 |
12,670 |
$1.88 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,330 |
2,321 |
$1.39 |
| 3008F |
|
13,814 |
11,077 |
$0.73 |
| G9189 |
Beta-blocker therapy prescribed or currently being taken |
253 |
233 |
$0.57 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
67 |
65 |
$0.39 |
| 3044F |
|
821 |
800 |
$0.12 |
| 3048F |
|
809 |
773 |
$0.05 |
| 3049F |
|
83 |
80 |
$0.04 |
| 3061F |
|
274 |
265 |
$0.02 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
575 |
538 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,698 |
3,181 |
$0.00 |
| 99071 |
|
420 |
416 |
$0.00 |
| 4274F |
|
633 |
630 |
$0.00 |
| 3015F |
|
336 |
315 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,301 |
1,986 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
481 |
445 |
$0.00 |
| 3725F |
|
2,877 |
2,859 |
$0.00 |
| 3016F |
|
2,436 |
2,427 |
$0.00 |
| 1090F |
|
14 |
14 |
$0.00 |
| 0521F |
|
618 |
584 |
$0.00 |
| 1158F |
|
92 |
92 |
$0.00 |
| 3051F |
|
131 |
123 |
$0.00 |
| 2022F |
|
26 |
25 |
$0.00 |
| 99072 |
|
79 |
63 |
$0.00 |
| 1494F |
|
73 |
72 |
$0.00 |
| 4004F |
|
14 |
13 |
$0.00 |
| 82274 |
|
16 |
16 |
$0.00 |
| 3288F |
|
16 |
16 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
7,393 |
6,328 |
$0.00 |
| 2010F |
|
14,066 |
11,262 |
$0.00 |
| 99000 |
|
5,021 |
4,770 |
$0.00 |
| 3017F |
|
1,030 |
966 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
105 |
96 |
$0.00 |
| 1000F |
|
2,953 |
2,924 |
$0.00 |
| 4010F |
|
1,144 |
1,039 |
$0.00 |
| 4008F |
|
282 |
257 |
$0.00 |
| 1036F |
|
2,918 |
2,881 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,136 |
2,131 |
$0.00 |
| 1030F |
|
628 |
625 |
$0.00 |
| 3014F |
|
142 |
139 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
342 |
304 |
$0.00 |
| 81528 |
Oncology (colorectal) screening, quantitative real-time target and signal amplification |
29 |
29 |
$0.00 |
| 4037F |
|
652 |
651 |
$0.00 |
| 4086F |
|
497 |
460 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
4,083 |
3,513 |
$0.00 |
| 1157F |
|
93 |
93 |
$0.00 |
| 99429 |
|
404 |
352 |
$0.00 |
| 1034F |
|
123 |
117 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
15 |
15 |
$0.00 |
| 3060F |
|
13 |
12 |
$0.00 |
| 1123F |
|
14 |
14 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
20 |
20 |
$0.00 |