| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49,374 |
43,443 |
$1.22M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,655 |
36,190 |
$707K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,907 |
5,267 |
$252K |
| 64493 |
|
2,553 |
1,857 |
$107K |
| 64635 |
|
663 |
515 |
$77K |
| 64494 |
|
2,609 |
1,771 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,854 |
1,557 |
$51K |
| 62323 |
|
665 |
617 |
$39K |
| 27096 |
|
475 |
405 |
$32K |
| 64636 |
|
603 |
457 |
$26K |
| 64483 |
|
246 |
229 |
$19K |
| 99442 |
|
892 |
749 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
801 |
690 |
$12K |
| 64495 |
|
832 |
503 |
$10K |
| 99152 |
|
609 |
481 |
$6K |
| 99443 |
|
129 |
118 |
$6K |
| 20610 |
|
146 |
117 |
$4K |
| 64451 |
|
39 |
34 |
$3K |
| 99215 |
Prolong outpt/office vis |
67 |
64 |
$3K |
| 64633 |
|
17 |
13 |
$2K |
| 99441 |
|
206 |
183 |
$2K |
| 20553 |
|
84 |
68 |
$1K |
| 20611 |
|
26 |
26 |
$908.52 |
| 64634 |
|
16 |
12 |
$705.74 |
| 99205 |
Prolong outpt/office vis |
17 |
13 |
$541.55 |
| 77002 |
|
58 |
54 |
$415.61 |
| 64484 |
|
12 |
12 |
$386.47 |
| 99406 |
|
200 |
113 |
$240.71 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
82,227 |
74,917 |
$81.42 |
| 99484 |
|
19 |
19 |
$58.69 |
| G9577 |
Patients prescribed opiates for longer than six weeks |
14,870 |
13,201 |
$26.04 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
39,972 |
36,779 |
$0.04 |
| G2197 |
Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user |
33,110 |
30,430 |
$0.04 |
| G0030 |
Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user |
8,287 |
7,640 |
$0.02 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
14,471 |
13,293 |
$0.02 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
27,909 |
25,470 |
$0.02 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
8,436 |
7,767 |
$0.02 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
8,782 |
8,071 |
$0.02 |
| 1036F |
|
14,963 |
13,703 |
$0.02 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
34,346 |
31,563 |
$0.00 |
| G9584 |
Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy |
19,395 |
17,382 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
6,904 |
6,464 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
4,555 |
4,222 |
$0.00 |
| 4004F |
|
273 |
172 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,484 |
1,396 |
$0.00 |
| G9578 |
Documentation of signed opioid treatment agreement at least once during opioid therapy |
19,305 |
17,330 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
14,728 |
12,937 |
$0.00 |
| G9562 |
Patients who had a follow-up evaluation conducted at least every three months during opioid therapy |
10,669 |
9,470 |
$0.00 |
| G9561 |
Patients prescribed opiates for longer than six weeks |
10,166 |
9,001 |
$0.00 |
| G9623 |
Documentation of medical reason(s) for not screening for unhealthy alcohol use (e.g., limited life expectancy, other medical reasons) |
199 |
184 |
$0.00 |
| 1100F |
|
91 |
81 |
$0.00 |
| 0518F |
|
91 |
81 |
$0.00 |
| G2198 |
Documentation of medical reason(s) for not screening for unhealthy alcohol use using a systematic screening method (e.g., limited life expectancy, other medical reasons) |
181 |
167 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
13 |
13 |
$0.00 |
| G9909 |
Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months if identified as a tobacco user (e.g., limited life expectancy, other medical reason) |
21 |
21 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
9,508 |
8,774 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
3,488 |
3,221 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,001 |
4,565 |
$0.00 |
| 1006F |
|
3,579 |
3,074 |
$0.00 |
| G9583 |
Patients prescribed opiates for longer than six weeks |
14,735 |
13,076 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
68 |
68 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
274 |
263 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
160 |
145 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
116 |
101 |
$0.00 |
| G9579 |
No documentation of signed an opioid treatment agreement at least once during opioid therapy |
42 |
39 |
$0.00 |
| G9745 |
Documented reason for not screening or recommending a follow-up for high blood pressure |
64 |
60 |
$0.00 |
| G9585 |
Patient not evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient not interviewed at least once during opioid therapy |
33 |
32 |
$0.00 |
| G9720 |
Hospice services for patient occurred any time during the measurement period |
40 |
31 |
$0.00 |
| G9907 |
Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months (e.g., limited life expectancy, other medical reason) |
21 |
21 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
14 |
14 |
$0.00 |
| G2181 |
Bmi not documented due to medical reason or patient refusal of height or weight measurement |
15 |
15 |
$0.00 |