| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,401 |
4,393 |
$224K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12,520 |
3,561 |
$219K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,745 |
2,423 |
$178K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,785 |
2,391 |
$33K |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
5,778 |
4,551 |
$9K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,414 |
2,038 |
$6K |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
427 |
357 |
$5K |
| 99497 |
|
710 |
661 |
$3K |
| 99307 |
|
434 |
230 |
$3K |
| 99441 |
|
409 |
316 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,219 |
1,113 |
$3K |
| 90682 |
|
217 |
211 |
$3K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
333 |
282 |
$3K |
| 96160 |
|
822 |
739 |
$2K |
| G8482 |
Influenza immunization administered or previously received |
680 |
565 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,093 |
981 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
341 |
293 |
$2K |
| 3008F |
|
2,162 |
1,763 |
$2K |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,629 |
1,377 |
$1K |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
2,485 |
2,095 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
44 |
37 |
$1K |
| 96127 |
|
747 |
666 |
$724.60 |
| 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) |
145 |
127 |
$689.46 |
| 3075F |
|
498 |
442 |
$621.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
28 |
$481.09 |
| 3074F |
|
495 |
442 |
$380.64 |
| 3079F |
|
563 |
487 |
$371.29 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
821 |
693 |
$276.10 |
| 90686 |
|
18 |
16 |
$253.50 |
| 99305 |
|
13 |
12 |
$233.84 |
| 1101F |
|
2,043 |
1,670 |
$231.09 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
698 |
614 |
$190.29 |
| 3078F |
|
498 |
450 |
$170.48 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
66 |
43 |
$135.43 |
| 3017F |
|
1,107 |
877 |
$80.48 |
| 3044F |
|
163 |
146 |
$60.00 |
| 3014F |
|
27 |
25 |
$50.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
12 |
12 |
$44.56 |
| 93000 |
|
15 |
12 |
$42.63 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
391 |
391 |
$38.67 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
462 |
387 |
$33.07 |
| 3061F |
|
84 |
64 |
$0.02 |
| 1036F |
|
1,658 |
1,334 |
$0.00 |
| 4010F |
|
177 |
165 |
$0.00 |
| 4000F |
|
12 |
12 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
12 |
12 |
$0.00 |
| 1034F |
|
12 |
12 |
$0.00 |
| 4004F |
|
1,680 |
1,351 |
$0.00 |
| 1124F |
|
488 |
407 |
$0.00 |
| 99490 |
Ccm add 20min |
326 |
325 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,310 |
1,110 |
$0.00 |
| 1160F |
|
1,562 |
1,299 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
159 |
144 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
654 |
548 |
$0.00 |
| 3046F |
|
14 |
12 |
$0.00 |
| 90662 |
|
114 |
77 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
28 |
25 |
$0.00 |