| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,611 |
4,281 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,320 |
3,149 |
$47K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
983 |
910 |
$32K |
| 99606 |
|
3,245 |
2,976 |
$32K |
| 99402 |
|
4,683 |
4,246 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,464 |
1,426 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,573 |
1,530 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
334 |
329 |
$7K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
798 |
793 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
268 |
262 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
600 |
563 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
494 |
484 |
$5K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
530 |
528 |
$3K |
| 99406 |
|
456 |
453 |
$3K |
| 99407 |
|
199 |
199 |
$3K |
| 92587 |
|
195 |
195 |
$2K |
| H0049 |
Alcohol and/or drug screening |
1,104 |
1,096 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
4,991 |
4,880 |
$905.85 |
| 90658 |
|
180 |
180 |
$849.42 |
| 97803 |
|
1,666 |
1,542 |
$841.42 |
| 3074F |
|
610 |
588 |
$815.00 |
| 3078F |
|
568 |
551 |
$760.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
43 |
42 |
$458.02 |
| 99386 |
|
44 |
44 |
$261.47 |
| 99385 |
|
28 |
27 |
$194.61 |
| 94761 |
|
1,176 |
1,071 |
$122.58 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
34 |
$88.14 |
| 3079F |
|
40 |
37 |
$65.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$57.65 |
| 81025 |
|
38 |
36 |
$36.88 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$34.75 |
| 3075F |
|
18 |
14 |
$25.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,023 |
1,015 |
$0.81 |
| 81002 |
|
31 |
30 |
$0.66 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
750 |
747 |
$0.26 |
| 3016F |
|
557 |
553 |
$0.00 |
| 3725F |
|
495 |
493 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,582 |
1,521 |
$0.00 |
| 3015F |
|
105 |
101 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
901 |
873 |
$0.00 |
| 90734 |
|
44 |
43 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
55 |
52 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 96160 |
|
19 |
19 |
$0.00 |
| 4004F |
|
12 |
12 |
$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) |
32 |
30 |
$0.00 |
| 3017F |
|
121 |
114 |
$0.00 |
| 1036F |
|
474 |
472 |
$0.00 |
| G9508 |
Documentation that the patient is not on a statin medication |
608 |
603 |
$0.00 |
| 1000F |
|
629 |
624 |
$0.00 |
| 3008F |
|
599 |
566 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,462 |
1,400 |
$0.00 |
| 3049F |
|
29 |
29 |
$0.00 |
| 3014F |
|
61 |
57 |
$0.00 |
| 3048F |
|
84 |
83 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
74 |
71 |
$0.00 |