| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,785 |
5,231 |
$340K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,943 |
4,227 |
$274K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
428 |
423 |
$49K |
| 99401 |
|
2,176 |
1,995 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
669 |
612 |
$21K |
| 99490 |
Ccm add 20min |
1,138 |
1,138 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
198 |
195 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,045 |
1,015 |
$18K |
| H0049 |
Alcohol and/or drug screening |
929 |
911 |
$17K |
| 90686 |
|
600 |
599 |
$10K |
| 92551 |
|
850 |
838 |
$9K |
| 0012A |
|
204 |
203 |
$7K |
| 99497 |
|
285 |
278 |
$7K |
| 93040 |
|
567 |
551 |
$6K |
| 99457 |
|
115 |
115 |
$5K |
| 94010 |
|
164 |
160 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,141 |
1,124 |
$5K |
| 0011A |
|
142 |
141 |
$5K |
| 99439 |
|
174 |
174 |
$3K |
| 3074F |
|
3,205 |
2,865 |
$2K |
| 3078F |
|
3,648 |
3,251 |
$2K |
| 86580 |
|
268 |
263 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,106 |
2,068 |
$2K |
| 93000 |
|
400 |
398 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
103 |
103 |
$2K |
| 36410 |
|
411 |
403 |
$2K |
| G9275 |
Documentation that patient is a current non-tobacco user |
532 |
526 |
$1K |
| 99406 |
|
112 |
108 |
$1K |
| 97802 |
|
771 |
747 |
$1K |
| 96127 |
|
394 |
380 |
$1K |
| 90662 |
|
290 |
288 |
$1K |
| 94016 |
|
147 |
142 |
$941.16 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
427 |
421 |
$818.40 |
| 99441 |
|
36 |
31 |
$762.30 |
| 99051 |
|
814 |
760 |
$692.47 |
| 90682 |
|
13 |
13 |
$688.25 |
| 0001A |
|
16 |
16 |
$600.36 |
| 3079F |
|
673 |
636 |
$597.50 |
| 0002A |
|
14 |
14 |
$560.18 |
| 99173 |
|
576 |
565 |
$509.57 |
| 3077F |
|
593 |
545 |
$484.50 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
26 |
26 |
$483.65 |
| 0064A |
|
12 |
12 |
$480.45 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
223 |
219 |
$426.00 |
| 3075F |
|
526 |
506 |
$317.50 |
| S9451 |
Exercise classes, non-physician provider, per session |
51 |
51 |
$309.60 |
| 99408 |
|
32 |
32 |
$257.80 |
| 3080F |
|
70 |
66 |
$237.00 |
| G9276 |
Documentation that patient is a current tobacco user |
41 |
39 |
$200.00 |
| 99397 |
|
145 |
145 |
$190.66 |
| 90750 |
|
13 |
13 |
$144.59 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
30 |
30 |
$73.24 |
| 96160 |
|
53 |
53 |
$53.45 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,049 |
886 |
$22.50 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
890 |
744 |
$22.50 |
| 3008F |
|
1,069 |
1,048 |
$0.08 |
| 3048F |
|
478 |
444 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
327 |
325 |
$0.00 |
| 90694 |
|
43 |
43 |
$0.00 |
| 99429 |
|
129 |
101 |
$0.00 |
| 2000F |
|
1,716 |
1,510 |
$0.00 |
| 3351F |
|
64 |
62 |
$0.00 |
| 3044F |
|
332 |
309 |
$0.00 |
| 1000F |
|
602 |
593 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
352 |
330 |
$0.00 |
| 4037F |
|
138 |
137 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
58 |
58 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
49 |
48 |
$0.00 |
| 1036F |
|
510 |
503 |
$0.00 |
| 4010F |
|
45 |
42 |
$0.00 |
| G8473 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed |
45 |
42 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
94 |
94 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
12 |
12 |
$0.00 |
| 1159F |
|
370 |
344 |
$0.00 |
| 3725F |
|
834 |
820 |
$0.00 |
| 3016F |
|
301 |
299 |
$0.00 |
| 99072 |
|
277 |
251 |
$0.00 |
| 4013F |
|
379 |
356 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
274 |
258 |
$0.00 |
| 99080 |
|
695 |
120 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
91 |
90 |
$0.00 |
| 97803 |
|
122 |
116 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
24 |
24 |
$0.00 |
| 1032F |
|
88 |
87 |
$0.00 |
| 1160F |
|
509 |
473 |
$0.00 |
| 90678 |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 4145F |
|
13 |
12 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
14 |
14 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
26 |
25 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
12 |
12 |
$0.00 |
| 90863 |
|
13 |
12 |
$0.00 |