| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,970 |
1,953 |
$8K |
| 3074F |
|
1,543 |
1,522 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,027 |
1,024 |
$1K |
| 3078F |
|
1,436 |
1,416 |
$975.00 |
| H0001 |
Alcohol and/or drug assessment |
2,051 |
2,047 |
$833.82 |
| 97802 |
|
496 |
496 |
$671.37 |
| 97803 |
|
679 |
679 |
$484.95 |
| 82274 |
|
32 |
32 |
$413.54 |
| 93000 |
|
44 |
44 |
$337.95 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
35 |
35 |
$201.37 |
| 3079F |
|
132 |
131 |
$172.50 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
26 |
26 |
$162.24 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
26 |
26 |
$152.65 |
| 3080F |
|
42 |
42 |
$140.00 |
| 3077F |
|
41 |
41 |
$135.00 |
| 3075F |
|
75 |
75 |
$107.50 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,331 |
1,313 |
$90.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$60.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
892 |
879 |
$30.00 |
| 90756 |
|
12 |
12 |
$28.06 |
| 82270 |
|
13 |
13 |
$15.56 |
| 3008F |
|
1,770 |
1,743 |
$0.04 |
| 3016F |
|
657 |
655 |
$0.00 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
1,796 |
1,793 |
$0.00 |
| 3725F |
|
756 |
755 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,897 |
1,872 |
$0.00 |
| 4013F |
|
91 |
91 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
761 |
760 |
$0.00 |
| 0556F |
|
227 |
225 |
$0.00 |
| G9507 |
Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) |
174 |
174 |
$0.00 |
| 4003F |
|
12 |
12 |
$0.00 |
| 99499 |
|
14 |
14 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
12 |
12 |
$0.00 |
| 1160F |
|
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,898 |
1,873 |
$0.00 |
| G9508 |
Documentation that the patient is not on a statin medication |
87 |
87 |
$0.00 |
| 3048F |
|
110 |
110 |
$0.00 |
| 3011F |
|
216 |
216 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
174 |
173 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,396 |
1,376 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
17 |
$0.00 |
| 1000F |
|
183 |
183 |
$0.00 |
| 4050F |
|
12 |
12 |
$0.00 |
| 99422 |
|
13 |
12 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
12 |
12 |
$0.00 |
| 4450F |
|
12 |
12 |
$0.00 |