| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,749 |
15,225 |
$968K |
| 99402 |
|
11,738 |
10,389 |
$305K |
| H0001 |
Alcohol and/or drug assessment |
9,171 |
8,450 |
$254K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,905 |
6,484 |
$117K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,100 |
7,041 |
$97K |
| 99401 |
|
5,227 |
4,180 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
942 |
881 |
$62K |
| 99442 |
|
1,067 |
1,017 |
$61K |
| 92587 |
|
2,805 |
2,793 |
$52K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
673 |
577 |
$52K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
2,872 |
2,698 |
$48K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
529 |
459 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
489 |
456 |
$30K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,072 |
1,015 |
$26K |
| 90688 |
|
2,946 |
2,946 |
$25K |
| 90461 |
|
849 |
843 |
$22K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,200 |
2,104 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
439 |
432 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
7,493 |
7,375 |
$12K |
| 90686 |
|
1,877 |
1,808 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
406 |
405 |
$8K |
| 90658 |
|
480 |
480 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
334 |
332 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,300 |
4,008 |
$5K |
| 90656 |
|
305 |
305 |
$4K |
| 83037 |
|
708 |
635 |
$4K |
| 97802 |
|
2,647 |
2,451 |
$4K |
| 96127 |
|
761 |
669 |
$3K |
| 99441 |
|
127 |
121 |
$2K |
| 82043 |
|
546 |
489 |
$2K |
| 3074F |
|
2,636 |
2,416 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
117 |
104 |
$2K |
| 3078F |
|
1,712 |
1,601 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
43 |
42 |
$1K |
| 99173 |
|
974 |
966 |
$1K |
| 3079F |
|
1,420 |
1,328 |
$857.00 |
| 90655 |
|
40 |
40 |
$611.56 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,631 |
1,544 |
$526.00 |
| 90670 |
|
12 |
12 |
$450.00 |
| 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) |
395 |
365 |
$340.00 |
| 3075F |
|
263 |
251 |
$237.50 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
980 |
936 |
$142.50 |
| 3061F |
|
486 |
450 |
$103.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$102.97 |
| 1159F |
|
2,501 |
2,330 |
$13.00 |
| 1160F |
|
2,675 |
2,504 |
$10.50 |
| 2022F |
|
213 |
201 |
$0.16 |
| 3008F |
|
7,678 |
7,131 |
$0.04 |
| 1000F |
|
6,032 |
5,589 |
$0.00 |
| 1123F |
|
5,354 |
4,893 |
$0.00 |
| 1036F |
|
5,140 |
4,765 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,383 |
4,119 |
$0.00 |
| D1330 |
|
2,375 |
2,167 |
$0.00 |
| 2016F |
|
6,852 |
6,209 |
$0.00 |
| 1031F |
|
7,769 |
7,033 |
$0.00 |
| 3014F |
|
344 |
328 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
67 |
59 |
$0.00 |
| 1111F |
|
25 |
25 |
$0.00 |
| 4010F |
|
111 |
104 |
$0.00 |
| 3048F |
|
68 |
63 |
$0.00 |
| 3017F |
|
15 |
12 |
$0.00 |
| 3016F |
|
4,744 |
4,409 |
$0.00 |
| 3725F |
|
5,970 |
5,529 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,080 |
1,021 |
$0.00 |
| 1124F |
|
5,356 |
4,899 |
$0.00 |
| 4013F |
|
278 |
258 |
$0.00 |
| 99499 |
|
87 |
73 |
$0.00 |
| 2028F |
|
254 |
233 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
89 |
84 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |