| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,074 |
9,306 |
$365K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,299 |
3,100 |
$186K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,427 |
1,419 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
993 |
985 |
$27K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
332 |
331 |
$21K |
| 99403 |
|
336 |
280 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,145 |
1,059 |
$12K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,762 |
1,753 |
$11K |
| 99454 |
|
597 |
569 |
$10K |
| 99457 |
|
688 |
666 |
$9K |
| 90674 |
|
446 |
427 |
$9K |
| 99490 |
Ccm add 20min |
1,235 |
1,233 |
$8K |
| H0049 |
Alcohol and/or drug screening |
1,141 |
1,139 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
176 |
149 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
4,757 |
4,693 |
$4K |
| H0001 |
Alcohol and/or drug assessment |
999 |
997 |
$4K |
| 90688 |
|
198 |
193 |
$4K |
| 99404 |
|
31 |
29 |
$2K |
| 99458 |
|
178 |
178 |
$2K |
| 99487 |
Ccm add 20min |
130 |
129 |
$2K |
| 90756 |
|
63 |
60 |
$1K |
| 0004A |
|
47 |
47 |
$1K |
| 93000 |
|
142 |
138 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 0031A |
|
35 |
35 |
$1K |
| 90686 |
|
56 |
54 |
$993.56 |
| 96127 |
|
1,093 |
1,092 |
$904.63 |
| 99439 |
|
126 |
126 |
$887.44 |
| 90658 |
|
46 |
45 |
$786.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
126 |
94 |
$773.55 |
| 3074F |
|
1,142 |
1,090 |
$412.51 |
| 99453 |
|
61 |
61 |
$327.27 |
| 1160F |
|
1,110 |
1,034 |
$259.84 |
| 3079F |
|
477 |
458 |
$205.01 |
| 3078F |
|
760 |
732 |
$165.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
345 |
322 |
$134.00 |
| 99491 |
Ccm add 20min |
13 |
13 |
$113.63 |
| 99406 |
|
27 |
27 |
$73.48 |
| 3077F |
|
153 |
148 |
$60.00 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
91 |
91 |
$43.34 |
| 3080F |
|
70 |
68 |
$35.00 |
| 4084F |
|
233 |
215 |
$20.67 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
991 |
987 |
$8.75 |
| 3044F |
|
288 |
265 |
$7.50 |
| 3075F |
|
56 |
56 |
$5.00 |
| 3048F |
|
120 |
110 |
$4.82 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
215 |
197 |
$0.35 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
925 |
923 |
$0.05 |
| 3725F |
|
1,194 |
1,185 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
115 |
111 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
174 |
171 |
$0.00 |
| 4004F |
|
1,467 |
1,460 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,816 |
1,793 |
$0.00 |
| 2022F |
|
183 |
171 |
$0.00 |
| G8477 |
Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg |
19 |
17 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
47 |
32 |
$0.00 |
| 3016F |
|
181 |
179 |
$0.00 |
| 2029F |
|
12 |
12 |
$0.00 |
| 99408 |
|
18 |
18 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
736 |
735 |
$0.00 |
| 3008F |
|
1,977 |
1,949 |
$0.00 |
| 1036F |
|
1,770 |
1,759 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
212 |
211 |
$0.00 |
| 4010F |
|
164 |
156 |
$0.00 |
| 1000F |
|
854 |
852 |
$0.00 |
| 3061F |
|
278 |
254 |
$0.00 |
| 36410 |
|
13 |
12 |
$0.00 |
| 4086F |
|
17 |
16 |
$0.00 |
| 3014F |
|
14 |
13 |
$0.00 |