| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,914 |
8,600 |
$363K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,630 |
4,990 |
$259K |
| 93000 |
|
2,890 |
2,863 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
620 |
591 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
102 |
102 |
$12K |
| 99490 |
Ccm add 20min |
484 |
484 |
$8K |
| 96127 |
|
1,326 |
1,316 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
440 |
438 |
$6K |
| 93922 |
|
192 |
158 |
$5K |
| 90674 |
|
430 |
430 |
$5K |
| 99397 |
|
1,504 |
1,503 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
826 |
819 |
$3K |
| 99441 |
|
72 |
70 |
$3K |
| 90756 |
|
247 |
246 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
5,149 |
5,095 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
334 |
332 |
$1K |
| 0012A |
|
35 |
35 |
$1K |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
281 |
280 |
$1K |
| 99439 |
|
24 |
24 |
$560.49 |
| H0001 |
Alcohol and/or drug assessment |
26 |
26 |
$514.45 |
| 99406 |
|
91 |
91 |
$418.94 |
| 0011A |
|
12 |
12 |
$334.04 |
| 3074F |
|
3,325 |
2,963 |
$278.50 |
| 3078F |
|
4,830 |
4,291 |
$264.50 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
890 |
858 |
$252.50 |
| 99401 |
|
14 |
14 |
$186.15 |
| 3079F |
|
1,427 |
1,332 |
$96.50 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,189 |
2,036 |
$92.50 |
| 90686 |
|
12 |
12 |
$89.44 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
76 |
76 |
$85.22 |
| 99051 |
|
466 |
446 |
$83.84 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
40 |
40 |
$69.50 |
| 90653 |
|
13 |
13 |
$59.53 |
| 3077F |
|
1,720 |
1,585 |
$57.50 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,662 |
1,559 |
$53.00 |
| 96160 |
|
44 |
44 |
$52.28 |
| G0008 |
Administration of influenza virus vaccine |
1,289 |
1,288 |
$21.61 |
| 3075F |
|
1,485 |
1,421 |
$20.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
34 |
34 |
$13.00 |
| G8482 |
Influenza immunization administered or previously received |
198 |
198 |
$12.60 |
| 90694 |
|
586 |
586 |
$11.30 |
| 3050F |
|
54 |
54 |
$9.00 |
| 3008F |
|
3,268 |
3,062 |
$0.08 |
| 3725F |
|
339 |
335 |
$0.00 |
| 1160F |
|
1,361 |
1,275 |
$0.00 |
| 3051F |
|
60 |
54 |
$0.00 |
| 1159F |
|
1,229 |
1,173 |
$0.00 |
| 99071 |
|
143 |
140 |
$0.00 |
| 97803 |
|
282 |
282 |
$0.00 |
| 90662 |
|
301 |
301 |
$0.00 |
| 1158F |
|
146 |
141 |
$0.00 |
| 4013F |
|
237 |
232 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
450 |
425 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
434 |
411 |
$0.00 |
| 99072 |
|
126 |
105 |
$0.00 |
| 3016F |
|
54 |
54 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
69 |
69 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
17 |
17 |
$0.00 |
| 3044F |
|
612 |
576 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
214 |
209 |
$0.00 |
| 1000F |
|
267 |
264 |
$0.00 |
| 3048F |
|
612 |
581 |
$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 |
130 |
128 |
$0.00 |
| 4037F |
|
465 |
464 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
119 |
119 |
$0.00 |
| 3049F |
|
330 |
323 |
$0.00 |
| 2000F |
|
5,277 |
4,659 |
$0.00 |
| 4010F |
|
61 |
59 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
220 |
214 |
$0.00 |
| 3017F |
|
45 |
45 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
466 |
466 |
$0.00 |
| 3080F |
|
113 |
105 |
$0.00 |
| 1036F |
|
248 |
246 |
$0.00 |
| 1126F |
|
221 |
210 |
$0.00 |
| 1170F |
|
375 |
355 |
$0.00 |
| G8473 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed |
28 |
27 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| M1207 |
Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
13 |
13 |
$0.00 |