| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,410 |
4,167 |
$432K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,579 |
4,783 |
$377K |
| 76830 |
Ultrasound, transvaginal |
515 |
471 |
$51K |
| 99442 |
|
669 |
614 |
$48K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
332 |
330 |
$30K |
| 99443 |
|
234 |
225 |
$23K |
| 93000 |
|
700 |
697 |
$11K |
| 90756 |
|
321 |
320 |
$9K |
| 88142 |
|
473 |
469 |
$8K |
| 87210 |
|
1,492 |
1,326 |
$6K |
| 76857 |
|
154 |
148 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
354 |
352 |
$5K |
| 87110 |
|
335 |
329 |
$4K |
| 81002 |
|
1,908 |
1,612 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
184 |
160 |
$2K |
| 87623 |
|
111 |
110 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,263 |
2,195 |
$1K |
| 99386 |
|
16 |
16 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 81025 |
|
180 |
162 |
$809.81 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
13 |
12 |
$654.52 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
721 |
666 |
$575.75 |
| 99490 |
Ccm add 20min |
51 |
47 |
$488.81 |
| 90688 |
|
16 |
16 |
$264.81 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
57 |
55 |
$200.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
134 |
114 |
$168.82 |
| 3074F |
|
213 |
187 |
$67.50 |
| 3044F |
|
15 |
13 |
$40.00 |
| 3078F |
|
104 |
93 |
$35.00 |
| 3079F |
|
53 |
43 |
$35.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
63 |
63 |
$32.00 |
| 1159F |
|
440 |
386 |
$25.00 |
| 1160F |
|
462 |
410 |
$25.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
35 |
32 |
$5.80 |
| 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) |
53 |
45 |
$0.25 |
| 3008F |
|
223 |
202 |
$0.04 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
282 |
273 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
92 |
81 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
189 |
159 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
39 |
32 |
$0.00 |
| 3016F |
|
41 |
40 |
$0.00 |
| 0521F |
|
78 |
69 |
$0.00 |
| 3725F |
|
27 |
24 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
552 |
477 |
$0.00 |
| 1125F |
|
81 |
70 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
93 |
81 |
$0.00 |
| 1036F |
|
73 |
70 |
$0.00 |