| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,265 |
9,083 |
$238K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
5,052 |
4,500 |
$194K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
7,550 |
6,642 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,199 |
1,141 |
$65K |
| 99402 |
|
1,192 |
1,083 |
$33K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
971 |
865 |
$30K |
| 99397 |
|
830 |
748 |
$19K |
| 99401 |
|
9,018 |
7,871 |
$16K |
| 97802 |
|
8,756 |
7,648 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
79 |
$4K |
| 99407 |
|
600 |
582 |
$4K |
| 99443 |
|
56 |
55 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$3K |
| 3074F |
|
4,566 |
4,105 |
$2K |
| 3078F |
|
4,304 |
3,863 |
$2K |
| 3079F |
|
1,238 |
1,141 |
$1K |
| 93000 |
|
72 |
69 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
3,257 |
3,111 |
$1K |
| 99442 |
|
172 |
170 |
$956.85 |
| 99496 |
|
28 |
24 |
$811.00 |
| 99406 |
|
746 |
712 |
$768.13 |
| 99491 |
Ccm add 20min |
79 |
77 |
$722.04 |
| 3075F |
|
815 |
761 |
$720.00 |
| 1160F |
|
6,915 |
6,030 |
$352.50 |
| 1126F |
|
4,867 |
4,356 |
$320.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$292.62 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
9,127 |
7,969 |
$270.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
20 |
18 |
$238.36 |
| H0001 |
Alcohol and/or drug assessment |
8,433 |
7,305 |
$230.03 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
155 |
146 |
$194.23 |
| 1170F |
|
480 |
434 |
$190.00 |
| 1159F |
|
494 |
445 |
$190.00 |
| 1125F |
|
1,822 |
1,705 |
$180.00 |
| 90658 |
|
12 |
12 |
$122.68 |
| 94664 |
|
12 |
12 |
$112.88 |
| 3077F |
|
125 |
121 |
$72.50 |
| 82270 |
|
29 |
29 |
$52.51 |
| 3080F |
|
62 |
59 |
$37.50 |
| G9275 |
Documentation that patient is a current non-tobacco user |
10,138 |
8,865 |
$0.03 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
9,334 |
8,149 |
$0.01 |
| 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) |
6,955 |
6,154 |
$0.01 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,850 |
1,682 |
$0.00 |
| 1157F |
|
7,037 |
6,112 |
$0.00 |
| 3008F |
|
8,075 |
6,964 |
$0.00 |
| 1000F |
|
6,210 |
5,431 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
1,000 |
936 |
$0.00 |
| 99058 |
|
99 |
95 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
20 |
19 |
$0.00 |
| 3017F |
|
39 |
37 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
19 |
19 |
$0.00 |
| 1494F |
|
505 |
459 |
$0.00 |
| 3016F |
|
5,171 |
4,490 |
$0.00 |
| 1158F |
|
7,543 |
6,570 |
$0.00 |
| 3288F |
|
505 |
458 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
2,347 |
2,156 |
$0.00 |
| 3725F |
|
7,375 |
6,431 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,099 |
1,039 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
6,386 |
5,701 |
$0.00 |
| 1090F |
|
586 |
532 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
883 |
837 |
$0.00 |
| 0521F |
|
2,102 |
1,960 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
13 |
12 |
$0.00 |