| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,290 |
11,480 |
$889K |
| 99442 |
|
10,192 |
8,974 |
$719K |
| 99490 |
Ccm add 20min |
11,892 |
11,871 |
$460K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,358 |
2,202 |
$234K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,720 |
1,720 |
$186K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
889 |
889 |
$178K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,276 |
1,273 |
$114K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,063 |
1,054 |
$98K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
926 |
922 |
$77K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
494 |
494 |
$70K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
4,318 |
4,296 |
$52K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
795 |
793 |
$40K |
| 90834 |
Psychotherapy, 45 minutes with patient |
527 |
227 |
$40K |
| 99441 |
|
750 |
742 |
$37K |
| 99439 |
|
891 |
891 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,228 |
1,015 |
$20K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
795 |
788 |
$12K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
6,135 |
5,578 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$5K |
| 99385 |
|
53 |
53 |
$5K |
| 99443 |
|
87 |
86 |
$5K |
| 3078F |
|
1,057 |
990 |
$4K |
| 82947 |
|
1,608 |
1,436 |
$4K |
| 3074F |
|
980 |
927 |
$4K |
| 3079F |
|
441 |
429 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
4,768 |
4,707 |
$3K |
| 99407 |
|
232 |
225 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
135 |
134 |
$2K |
| 3075F |
|
187 |
182 |
$1K |
| 90756 |
|
56 |
56 |
$1K |
| 3044F |
|
227 |
197 |
$1K |
| 90688 |
|
43 |
43 |
$699.88 |
| 99406 |
|
102 |
98 |
$684.93 |
| 93922 |
|
33 |
33 |
$650.40 |
| 99401 |
|
26 |
26 |
$644.92 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
4,546 |
4,124 |
$460.00 |
| 98925 |
|
13 |
12 |
$382.01 |
| 96160 |
|
92 |
92 |
$258.10 |
| 93000 |
|
13 |
13 |
$197.86 |
| 3077F |
|
260 |
240 |
$195.00 |
| 3051F |
|
14 |
13 |
$140.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
1,275 |
1,165 |
$140.00 |
| 3046F |
|
14 |
12 |
$120.00 |
| 99307 |
|
12 |
12 |
$119.26 |
| 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) |
223 |
220 |
$105.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,471 |
1,331 |
$80.00 |
| 2022F |
|
114 |
107 |
$80.00 |
| 2023F |
|
17 |
16 |
$60.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,769 |
1,584 |
$60.00 |
| 1159F |
|
8,908 |
7,114 |
$55.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
15 |
$44.15 |
| 1160F |
|
8,642 |
6,888 |
$40.00 |
| 3080F |
|
12 |
12 |
$12.50 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
1,698 |
1,505 |
$12.02 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
10,433 |
8,595 |
$0.32 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
3,938 |
3,546 |
$0.27 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
140 |
124 |
$0.04 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
299 |
260 |
$0.02 |
| 4004F |
|
1,003 |
926 |
$0.00 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
52 |
51 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
351 |
322 |
$0.00 |
| 1158F |
|
231 |
204 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
1,136 |
1,039 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
282 |
257 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,441 |
2,192 |
$0.00 |
| 3725F |
|
459 |
453 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
15 |
12 |
$0.00 |
| G8541 |
Functional outcome assessment using a standardized tool not documented, reason not given |
846 |
789 |
$0.00 |
| 2026F |
|
22 |
16 |
$0.00 |
| G8540 |
Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter |
159 |
150 |
$0.00 |
| 4040F |
|
14 |
13 |
$0.00 |
| 3015F |
|
12 |
12 |
$0.00 |
| 1157F |
|
229 |
202 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,432 |
2,201 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
220 |
210 |
$0.00 |
| 1123F |
|
246 |
218 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
1,695 |
1,557 |
$0.00 |
| 1036F |
|
3,911 |
3,546 |
$0.00 |
| 1126F |
|
59 |
52 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
298 |
273 |
$0.00 |
| 3008F |
|
4,878 |
4,456 |
$0.00 |
| 3017F |
|
824 |
736 |
$0.00 |
| 3061F |
|
480 |
427 |
$0.00 |
| 99495 |
|
14 |
13 |
$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) |
758 |
682 |
$0.00 |
| 3014F |
|
265 |
240 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
37 |
37 |
$0.00 |
| G9227 |
Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter |
20 |
16 |
$0.00 |
| 1170F |
|
132 |
116 |
$0.00 |
| 1111F |
|
14 |
14 |
$0.00 |
| 4010F |
|
251 |
216 |
$0.00 |
| 3072F |
|
14 |
13 |
$0.00 |
| 99000 |
|
16 |
16 |
$0.00 |