| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,605 |
11,467 |
$481K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,318 |
5,526 |
$145K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,528 |
1,345 |
$100K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,311 |
1,147 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
751 |
708 |
$69K |
| 1159F |
|
12,850 |
10,758 |
$26K |
| 36415 |
Collection of venous blood by venipuncture |
3,678 |
3,374 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
511 |
460 |
$19K |
| 1036F |
|
16,957 |
12,274 |
$9K |
| 3008F |
|
22,922 |
16,692 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
107 |
95 |
$7K |
| 1125F |
|
3,695 |
3,320 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
989 |
600 |
$6K |
| 1126F |
|
11,041 |
9,198 |
$6K |
| 1034F |
|
4,112 |
3,178 |
$4K |
| 1158F |
|
3,759 |
3,363 |
$4K |
| 87428 |
|
130 |
115 |
$3K |
| 93000 |
|
202 |
160 |
$3K |
| 1170F |
|
3,888 |
3,517 |
$3K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
194 |
185 |
$3K |
| 1160F |
|
12,306 |
10,361 |
$2K |
| 3074F |
|
16,344 |
13,581 |
$2K |
| 81002 |
|
580 |
531 |
$2K |
| 3079F |
|
6,636 |
5,409 |
$1K |
| 3078F |
|
14,642 |
10,941 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
272 |
165 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
37 |
31 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$964.57 |
| 1220F |
|
3,108 |
2,843 |
$697.15 |
| 99401 |
|
281 |
256 |
$578.52 |
| 0011A |
|
29 |
27 |
$560.00 |
| 3048F |
|
2,668 |
2,025 |
$547.79 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
18,358 |
13,090 |
$523.36 |
| 3075F |
|
3,120 |
2,864 |
$490.64 |
| 1111F |
|
1,948 |
1,597 |
$469.25 |
| 1101F |
|
4,937 |
3,894 |
$431.10 |
| 3080F |
|
1,105 |
979 |
$417.36 |
| 3049F |
|
1,848 |
1,385 |
$412.82 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
26 |
$397.20 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
18,595 |
13,212 |
$371.30 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,112 |
925 |
$357.54 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,085 |
4,832 |
$353.20 |
| 3077F |
|
1,187 |
1,049 |
$299.24 |
| 3044F |
|
2,010 |
1,651 |
$285.55 |
| 0012A |
|
17 |
13 |
$240.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
114 |
86 |
$166.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$130.58 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,038 |
3,605 |
$104.10 |
| 99406 |
|
43 |
34 |
$103.19 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
21 |
19 |
$100.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$89.48 |
| 81025 |
|
24 |
24 |
$89.42 |
| G8484 |
Influenza immunization was not administered, reason not given |
148 |
125 |
$80.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
12 |
$77.65 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
911 |
720 |
$77.01 |
| 85018 |
|
60 |
54 |
$56.67 |
| 87070 |
|
12 |
12 |
$55.36 |
| 3050F |
|
1,257 |
929 |
$51.70 |
| G8450 |
Beta-blocker therapy prescribed |
568 |
428 |
$44.16 |
| 3288F |
|
439 |
392 |
$40.18 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
879 |
741 |
$29.47 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
3,755 |
3,027 |
$28.37 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
1,016 |
748 |
$28.34 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,966 |
5,522 |
$0.04 |
| 1157F |
|
496 |
466 |
$0.01 |
| 1124F |
|
1,600 |
1,413 |
$0.00 |
| 1090F |
|
3,072 |
2,465 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
74 |
63 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,986 |
3,071 |
$0.00 |
| G8506 |
Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
496 |
375 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
177 |
131 |
$0.00 |
| 1494F |
|
3,724 |
3,097 |
$0.00 |
| 3015F |
|
170 |
134 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
2,211 |
1,801 |
$0.00 |
| 3046F |
|
40 |
24 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
290 |
233 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
4,522 |
3,581 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
366 |
344 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
278 |
249 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
21 |
18 |
$0.00 |
| 4274F |
|
39 |
34 |
$0.00 |
| 3014F |
|
79 |
66 |
$0.00 |
| 4010F |
|
74 |
65 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
797 |
682 |
$0.00 |
| 3061F |
|
54 |
40 |
$0.00 |
| G8473 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed |
29 |
21 |
$0.00 |
| 91301 |
|
38 |
38 |
$0.00 |
| 3017F |
|
148 |
110 |
$0.00 |
| G8866 |
Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal) |
392 |
354 |
$0.00 |
| 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) |
263 |
225 |
$0.00 |
| 3072F |
|
19 |
12 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
29 |
27 |
$0.00 |