| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,845 |
2,639 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
679 |
658 |
$15K |
| 90686 |
|
262 |
253 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
339 |
332 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
703 |
679 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
66 |
66 |
$2K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
84 |
84 |
$943.75 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
399 |
397 |
$686.40 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
384 |
382 |
$608.40 |
| 0031A |
|
15 |
15 |
$570.94 |
| 3078F |
|
215 |
204 |
$421.00 |
| 99441 |
|
22 |
20 |
$333.04 |
| H0001 |
Alcohol and/or drug assessment |
255 |
248 |
$315.01 |
| 3074F |
|
87 |
82 |
$262.50 |
| 90656 |
|
15 |
15 |
$205.87 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
12 |
$83.77 |
| 3061F |
|
38 |
38 |
$40.00 |
| 3008F |
|
1,507 |
1,442 |
$0.34 |
| 2022F |
|
24 |
24 |
$0.01 |
| 3016F |
|
192 |
188 |
$0.00 |
| 3725F |
|
228 |
226 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
502 |
484 |
$0.00 |
| G9920 |
Screening performed and negative |
84 |
84 |
$0.00 |
| G9923 |
Safety concerns screen provided and negative |
84 |
84 |
$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) |
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
934 |
889 |
$0.00 |
| 1000F |
|
164 |
161 |
$0.00 |
| 1036F |
|
88 |
88 |
$0.00 |
| 3048F |
|
26 |
26 |
$0.00 |
| 3017F |
|
14 |
14 |
$0.00 |
| 91303 |
|
14 |
14 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
16 |
15 |
$0.00 |