| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,275 |
14,088 |
$1.65M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,471 |
5,221 |
$593K |
| 99401 |
|
12,263 |
8,308 |
$227K |
| 99490 |
Ccm add 20min |
2,152 |
2,149 |
$105K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,808 |
1,494 |
$72K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
433 |
418 |
$43K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
470 |
468 |
$32K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,523 |
1,624 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
371 |
369 |
$24K |
| 99439 |
|
536 |
536 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
527 |
495 |
$21K |
| 99051 |
|
4,397 |
3,649 |
$20K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,076 |
2,729 |
$16K |
| 3074F |
|
10,211 |
5,261 |
$15K |
| 3078F |
|
9,784 |
5,125 |
$14K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,829 |
1,780 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
818 |
766 |
$11K |
| H0001 |
Alcohol and/or drug assessment |
981 |
926 |
$9K |
| 90686 |
|
387 |
387 |
$8K |
| 90688 |
|
229 |
228 |
$4K |
| 94060 |
|
91 |
90 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
3,751 |
3,584 |
$3K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
9,572 |
6,727 |
$3K |
| 96127 |
|
1,602 |
1,539 |
$3K |
| 0012A |
|
79 |
79 |
$3K |
| 81000 |
|
1,149 |
1,120 |
$3K |
| 99442 |
|
39 |
32 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
32 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
476 |
474 |
$2K |
| 0011A |
|
69 |
69 |
$2K |
| 0124A |
|
64 |
64 |
$2K |
| 80061 |
Lipid panel |
471 |
468 |
$2K |
| 93000 |
|
99 |
97 |
$2K |
| 99408 |
|
750 |
731 |
$1K |
| 99407 |
|
55 |
46 |
$1K |
| 87110 |
|
180 |
172 |
$1K |
| 94200 |
|
91 |
90 |
$975.20 |
| 99497 |
|
26 |
25 |
$956.59 |
| 0064A |
|
39 |
39 |
$910.95 |
| 82042 |
|
434 |
432 |
$659.73 |
| 99000 |
|
3,767 |
3,243 |
$578.30 |
| 99441 |
|
19 |
19 |
$571.57 |
| 99406 |
|
62 |
53 |
$505.11 |
| G0008 |
Administration of influenza virus vaccine |
74 |
74 |
$370.00 |
| 3079F |
|
259 |
205 |
$327.00 |
| 3044F |
|
251 |
244 |
$287.00 |
| S0340 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
4,472 |
3,311 |
$263.66 |
| 1160F |
|
3,877 |
2,799 |
$260.00 |
| S9470 |
Nutritional counseling, dietitian visit |
587 |
583 |
$150.00 |
| 82043 |
|
53 |
53 |
$145.09 |
| 3048F |
|
148 |
138 |
$140.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
65 |
55 |
$87.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,933 |
1,798 |
$10.00 |
| 94760 |
|
58 |
51 |
$4.68 |
| 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) |
19 |
12 |
$2.25 |
| H0009 |
Alcohol and/or drug services; acute detoxification (hospital inpatient) |
149 |
148 |
$1.26 |
| 4010F |
|
1,927 |
1,406 |
$0.95 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,837 |
1,021 |
$0.70 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,844 |
1,024 |
$0.70 |
| 3008F |
|
7,798 |
4,080 |
$0.62 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,710 |
2,681 |
$0.00 |
| 4000F |
|
72 |
70 |
$0.00 |
| 1036F |
|
914 |
848 |
$0.00 |
| 91301 |
|
100 |
100 |
$0.00 |
| 1000F |
|
909 |
828 |
$0.00 |
| 4293F |
|
231 |
230 |
$0.00 |
| 4008F |
|
127 |
102 |
$0.00 |
| 94010 |
|
91 |
90 |
$0.00 |
| 3292F |
|
278 |
277 |
$0.00 |
| 3075F |
|
15 |
13 |
$0.00 |
| 91306 |
|
40 |
40 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
806 |
761 |
$0.00 |
| 4013F |
|
1,857 |
1,476 |
$0.00 |
| 3016F |
|
662 |
600 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
77 |
59 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
641 |
558 |
$0.00 |
| 3725F |
|
1,597 |
1,429 |
$0.00 |
| 4004F |
|
290 |
289 |
$0.00 |
| 91312 |
|
64 |
64 |
$0.00 |
| 98960 |
|
161 |
128 |
$0.00 |