| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,363 |
3,269 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
518 |
514 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,039 |
1,035 |
$3K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
488 |
480 |
$3K |
| H0001 |
Alcohol and/or drug assessment |
2,285 |
2,227 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
325 |
324 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
685 |
684 |
$1K |
| 3078F |
|
1,411 |
1,387 |
$857.52 |
| 3074F |
|
1,133 |
1,117 |
$632.53 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
104 |
104 |
$471.65 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
861 |
849 |
$435.28 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
29 |
29 |
$90.25 |
| 1159F |
|
2,926 |
2,855 |
$70.00 |
| 1160F |
|
3,007 |
2,926 |
$67.50 |
| 99051 |
|
99 |
99 |
$31.50 |
| 1126F |
|
1,018 |
1,005 |
$30.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,646 |
1,593 |
$27.50 |
| 3079F |
|
57 |
57 |
$20.00 |
| 1125F |
|
419 |
413 |
$8.00 |
| 82948 |
|
129 |
128 |
$4.03 |
| 82962 |
|
41 |
41 |
$3.87 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,632 |
1,614 |
$0.06 |
| 3011F |
|
367 |
367 |
$0.00 |
| 1036F |
|
1,252 |
1,223 |
$0.00 |
| 3008F |
|
4,561 |
4,378 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
975 |
957 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
588 |
587 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
254 |
251 |
$0.00 |
| 3044F |
|
194 |
193 |
$0.00 |
| 1000F |
|
1,620 |
1,573 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
780 |
766 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
426 |
416 |
$0.00 |
| 99493 |
|
12 |
12 |
$0.00 |
| G9745 |
Documented reason for not screening or recommending a follow-up for high blood pressure |
12 |
12 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
86 |
86 |
$0.00 |
| 3048F |
|
27 |
27 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |
| G9150 |
National committee for quality assurance - level 3 medical home |
972 |
959 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,195 |
1,165 |
$0.00 |
| 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) |
253 |
248 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
291 |
285 |
$0.00 |
| 3725F |
|
986 |
971 |
$0.00 |
| 3016F |
|
797 |
779 |
$0.00 |
| 0521F |
|
25 |
25 |
$0.00 |
| 80061 |
Lipid panel |
120 |
120 |
$0.00 |
| G8780 |
Counseling for diet and physical activity performed |
194 |
185 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
56 |
54 |
$0.00 |
| G9187 |
Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the meidcare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code |
39 |
39 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
16 |
16 |
$0.00 |
| 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 |
19 |
19 |
$0.00 |