| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75,254 |
51,798 |
$5.00M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,965 |
3,947 |
$293K |
| 90688 |
|
6,486 |
6,393 |
$111K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,829 |
1,823 |
$109K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,791 |
5,680 |
$104K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,213 |
6,090 |
$89K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
564 |
559 |
$46K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
4,450 |
4,400 |
$29K |
| 99397 |
|
367 |
365 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
640 |
602 |
$23K |
| 36410 |
|
2,623 |
2,597 |
$21K |
| 99386 |
|
245 |
244 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
10,223 |
9,966 |
$14K |
| 80061 |
Lipid panel |
1,693 |
1,691 |
$13K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,855 |
6,784 |
$10K |
| 99385 |
|
145 |
145 |
$9K |
| 3074F |
|
9,048 |
8,305 |
$8K |
| 3078F |
|
8,089 |
7,437 |
$7K |
| G0008 |
Administration of influenza virus vaccine |
510 |
509 |
$7K |
| 99000 |
|
4,731 |
4,636 |
$7K |
| 93000 |
|
537 |
533 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
905 |
903 |
$6K |
| 99406 |
|
489 |
435 |
$5K |
| 99429 |
|
1,329 |
1,093 |
$4K |
| 99407 |
|
227 |
194 |
$3K |
| 82270 |
|
887 |
876 |
$2K |
| 3079F |
|
2,603 |
2,509 |
$2K |
| 99497 |
|
154 |
152 |
$2K |
| 82044 |
|
649 |
646 |
$2K |
| 1159F |
|
7,078 |
5,541 |
$1K |
| 3075F |
|
1,189 |
1,154 |
$1K |
| 1160F |
|
7,084 |
5,545 |
$922.50 |
| 3077F |
|
669 |
650 |
$675.00 |
| 3051F |
|
1,696 |
1,544 |
$566.67 |
| 1126F |
|
3,820 |
2,948 |
$500.00 |
| 99402 |
|
12 |
12 |
$374.90 |
| 90656 |
|
15 |
15 |
$335.25 |
| 3080F |
|
293 |
288 |
$275.00 |
| 86580 |
|
28 |
27 |
$223.13 |
| 88141 |
|
14 |
14 |
$173.92 |
| 2022F |
|
1,283 |
1,258 |
$160.09 |
| 1125F |
|
653 |
511 |
$160.00 |
| 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) |
5,217 |
4,187 |
$52.35 |
| 82271 |
|
12 |
12 |
$42.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,513 |
4,232 |
$39.75 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
3,488 |
3,410 |
$30.67 |
| 3052F |
|
454 |
410 |
$20.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,727 |
1,551 |
$17.25 |
| G8598 |
Aspirin or another antiplatelet therapy used |
3,637 |
2,898 |
$6.30 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
286 |
261 |
$2.25 |
| 3048F |
|
2,234 |
2,013 |
$1.01 |
| 3008F |
|
13,599 |
11,699 |
$0.22 |
| 82272 |
|
43 |
41 |
$0.11 |
| 1000F |
|
3,369 |
3,335 |
$0.11 |
| 1036F |
|
3,095 |
3,064 |
$0.09 |
| 2028F |
|
2,887 |
2,718 |
$0.02 |
| 4000F |
|
43 |
41 |
$0.02 |
| 3061F |
|
2,369 |
2,157 |
$0.01 |
| 4013F |
|
1,038 |
815 |
$0.00 |
| 3016F |
|
255 |
244 |
$0.00 |
| 3725F |
|
5,488 |
5,439 |
$0.00 |
| 3046F |
|
18 |
18 |
$0.00 |
| 3045F |
|
149 |
141 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
107 |
107 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |
| 3050F |
|
59 |
55 |
$0.00 |
| 3015F |
|
54 |
53 |
$0.00 |
| 4008F |
|
822 |
641 |
$0.00 |
| 3017F |
|
240 |
215 |
$0.00 |
| 3049F |
|
251 |
238 |
$0.00 |
| 3060F |
|
97 |
88 |
$0.00 |
| 3014F |
|
81 |
76 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
69 |
69 |
$0.00 |
| 3011F |
|
45 |
45 |
$0.00 |
| 3044F |
|
62 |
56 |
$0.00 |