| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,822 |
21,430 |
$1.52M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,546 |
7,909 |
$505K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,444 |
2,427 |
$289K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
697 |
691 |
$76K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,743 |
3,709 |
$62K |
| 90756 |
|
2,523 |
2,519 |
$60K |
| 93000 |
|
3,518 |
3,502 |
$54K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,866 |
5,797 |
$18K |
| H0001 |
Alcohol and/or drug assessment |
3,666 |
3,655 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
452 |
399 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
6,669 |
6,601 |
$9K |
| 90674 |
|
333 |
333 |
$9K |
| 99051 |
|
3,123 |
2,918 |
$7K |
| 3074F |
|
9,030 |
7,685 |
$7K |
| 3078F |
|
10,735 |
8,984 |
$7K |
| 96127 |
|
1,899 |
1,851 |
$7K |
| 99401 |
|
995 |
952 |
$5K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
328 |
323 |
$5K |
| 99406 |
|
616 |
614 |
$5K |
| 99397 |
|
829 |
827 |
$3K |
| 99442 |
|
41 |
38 |
$3K |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
9,097 |
7,750 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$3K |
| 3079F |
|
2,894 |
2,639 |
$3K |
| 90750 |
|
122 |
122 |
$2K |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
147 |
147 |
$2K |
| 99497 |
|
347 |
337 |
$2K |
| 3077F |
|
2,265 |
2,061 |
$2K |
| 3075F |
|
2,896 |
2,712 |
$2K |
| 99441 |
|
38 |
37 |
$1K |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
7,877 |
6,649 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
1,334 |
1,332 |
$1K |
| 90746 |
|
17 |
17 |
$1K |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
7,093 |
6,026 |
$1K |
| 0011A |
|
25 |
25 |
$960.09 |
| 0012A |
|
24 |
24 |
$920.09 |
| 3080F |
|
197 |
184 |
$506.50 |
| 90694 |
|
788 |
788 |
$455.93 |
| G8477 |
Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg |
1,061 |
985 |
$401.50 |
| 0064A |
|
32 |
31 |
$318.37 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
151 |
151 |
$257.30 |
| 3044F |
|
759 |
707 |
$233.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,355 |
2,354 |
$216.05 |
| 3061F |
|
597 |
561 |
$216.00 |
| 96160 |
|
106 |
105 |
$167.75 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,954 |
1,951 |
$167.05 |
| 99072 |
|
393 |
321 |
$136.00 |
| 3046F |
|
13 |
12 |
$49.00 |
| 3051F |
|
29 |
27 |
$40.00 |
| 3008F |
|
6,983 |
6,717 |
$32.08 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
520 |
511 |
$20.88 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,037 |
1,704 |
$20.00 |
| 1036F |
|
2,774 |
2,764 |
$10.00 |
| 1000F |
|
2,937 |
2,926 |
$10.00 |
| 3725F |
|
4,998 |
4,944 |
$10.00 |
| 3016F |
|
2,263 |
2,262 |
$10.00 |
| 1160F |
|
2,927 |
2,445 |
$10.00 |
| 1159F |
|
3,041 |
2,536 |
$10.00 |
| 1170F |
|
179 |
176 |
$5.00 |
| 2000F |
|
15,439 |
12,764 |
$5.00 |
| 1125F |
|
145 |
143 |
$5.00 |
| 4037F |
|
695 |
695 |
$5.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
336 |
316 |
$5.00 |
| 90677 |
|
13 |
13 |
$0.01 |
| 90670 |
|
72 |
72 |
$0.01 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
65 |
65 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
231 |
231 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,183 |
3,066 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
103 |
101 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
497 |
495 |
$0.00 |
| 90732 |
|
57 |
57 |
$0.00 |
| 4000F |
|
440 |
437 |
$0.00 |
| 1034F |
|
22 |
22 |
$0.00 |
| 3049F |
|
135 |
132 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
179 |
178 |
$0.00 |
| 3048F |
|
91 |
84 |
$0.00 |
| 99429 |
|
1,084 |
898 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
16 |
16 |
$0.00 |
| M1207 |
Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
45 |
44 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
514 |
509 |
$0.00 |
| 4013F |
|
285 |
272 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,332 |
2,257 |
$0.00 |
| 1124F |
|
78 |
77 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
56 |
55 |
$0.00 |
| 1032F |
|
289 |
287 |
$0.00 |
| 4040F |
|
121 |
121 |
$0.00 |
| G9920 |
Screening performed and negative |
57 |
57 |
$0.00 |
| 2028F |
|
25 |
23 |
$0.00 |
| 3045F |
|
129 |
119 |
$0.00 |
| 1158F |
|
144 |
140 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
416 |
413 |
$0.00 |
| 99080 |
|
1,284 |
225 |
$0.00 |
| 3050F |
|
144 |
141 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
17 |
17 |
$0.00 |
| 90662 |
|
439 |
438 |
$0.00 |
| 3288F |
|
14 |
12 |
$0.00 |
| 4004F |
|
21 |
21 |
$0.00 |
| 90653 |
|
41 |
41 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
14 |
$0.00 |