| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,254 |
4,239 |
$797K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
4,801 |
4,783 |
$454K |
| 76830 |
Ultrasound, transvaginal |
3,183 |
3,170 |
$348K |
| 93880 |
|
1,692 |
1,679 |
$273K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,743 |
18,914 |
$243K |
| 76881 |
|
2,825 |
2,455 |
$210K |
| 76536 |
|
1,716 |
1,716 |
$164K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
6,537 |
6,511 |
$85K |
| 93923 |
|
703 |
696 |
$82K |
| 93970 |
|
286 |
286 |
$53K |
| 95913 |
|
196 |
195 |
$48K |
| 76770 |
|
438 |
438 |
$44K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
369 |
369 |
$41K |
| 95912 |
|
171 |
167 |
$39K |
| 93000 |
|
1,858 |
1,840 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,540 |
1,537 |
$22K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
269 |
268 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,918 |
2,852 |
$20K |
| 93925 |
|
104 |
104 |
$18K |
| 3074F |
|
10,732 |
10,509 |
$12K |
| 3078F |
|
9,798 |
9,615 |
$10K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
2,129 |
2,126 |
$9K |
| 3079F |
|
5,391 |
5,302 |
$5K |
| 95923 |
|
44 |
43 |
$5K |
| 76882 |
|
165 |
140 |
$4K |
| 92546 |
|
26 |
24 |
$4K |
| 82947 |
|
1,180 |
1,109 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
9,663 |
9,640 |
$4K |
| 99397 |
|
586 |
584 |
$4K |
| 3077F |
|
2,526 |
2,472 |
$3K |
| 95921 |
|
44 |
43 |
$3K |
| 93224 |
|
40 |
39 |
$3K |
| 92585 |
|
24 |
24 |
$3K |
| 99442 |
|
115 |
112 |
$3K |
| 3075F |
|
2,669 |
2,643 |
$3K |
| 92270 |
|
15 |
14 |
$2K |
| 99495 |
|
70 |
70 |
$2K |
| 93307 |
|
14 |
14 |
$2K |
| 92540 |
|
24 |
24 |
$2K |
| 93978 |
|
12 |
12 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
825 |
806 |
$2K |
| 1160F |
|
12,245 |
11,897 |
$2K |
| 1159F |
|
9,159 |
8,978 |
$1K |
| 82274 |
|
130 |
129 |
$1K |
| 3080F |
|
647 |
639 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$917.03 |
| 76775 |
|
14 |
14 |
$869.72 |
| 99497 |
|
13 |
13 |
$817.52 |
| 1125F |
|
2,168 |
2,140 |
$795.01 |
| 1170F |
|
978 |
963 |
$735.00 |
| 99441 |
|
56 |
56 |
$651.65 |
| 82272 |
|
2,317 |
2,299 |
$632.39 |
| 93356 |
|
14 |
14 |
$573.21 |
| 87110 |
|
412 |
409 |
$467.06 |
| 99385 |
|
61 |
61 |
$431.76 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
120 |
120 |
$361.16 |
| 93040 |
|
30 |
30 |
$339.74 |
| 90658 |
|
48 |
48 |
$305.00 |
| 1111F |
|
73 |
73 |
$250.01 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$127.67 |
| 0521F |
|
2,381 |
2,350 |
$125.01 |
| 3044F |
|
1,491 |
1,468 |
$100.32 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
25 |
25 |
$88.90 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
71 |
70 |
$78.00 |
| 3048F |
|
1,387 |
1,371 |
$75.02 |
| 3050F |
|
943 |
935 |
$70.08 |
| 3049F |
|
805 |
796 |
$20.02 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
7,332 |
7,200 |
$5.26 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13,424 |
13,128 |
$5.00 |
| 3008F |
|
17,444 |
16,895 |
$3.39 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,313 |
3,220 |
$2.25 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
872 |
866 |
$1.30 |
| 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) |
144 |
141 |
$0.27 |
| 3045F |
|
210 |
192 |
$0.14 |
| 2022F |
|
725 |
710 |
$0.08 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
649 |
649 |
$0.02 |
| 1158F |
|
534 |
527 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
702 |
689 |
$0.00 |
| 3725F |
|
8,368 |
8,337 |
$0.00 |
| 2028F |
|
262 |
245 |
$0.00 |
| 0518F |
|
751 |
738 |
$0.00 |
| 3016F |
|
9,497 |
9,326 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
2,857 |
2,789 |
$0.00 |
| 3051F |
|
254 |
249 |
$0.00 |
| 2026F |
|
146 |
145 |
$0.00 |
| 3288F |
|
759 |
746 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,008 |
992 |
$0.00 |
| 3015F |
|
605 |
602 |
$0.00 |
| G8780 |
Counseling for diet and physical activity performed |
315 |
307 |
$0.00 |
| 3046F |
|
120 |
116 |
$0.00 |
| 3014F |
|
2,262 |
2,222 |
$0.00 |
| 1036F |
|
592 |
589 |
$0.00 |
| 3017F |
|
2,374 |
2,345 |
$0.00 |
| 4000F |
|
284 |
269 |
$0.00 |
| 1000F |
|
194 |
186 |
$0.00 |
| 99386 |
|
27 |
27 |
$0.00 |