| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,640 |
9,809 |
$510K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,768 |
1,747 |
$77K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,258 |
1,249 |
$67K |
| 90686 |
|
1,773 |
1,760 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,166 |
1,085 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,872 |
1,854 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
286 |
286 |
$13K |
| 99442 |
|
109 |
106 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
4,101 |
4,062 |
$2K |
| 99406 |
|
178 |
150 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,077 |
1,062 |
$781.55 |
| 99443 |
|
13 |
13 |
$502.28 |
| 3044F |
|
1,576 |
1,468 |
$240.00 |
| 3051F |
|
194 |
179 |
$40.00 |
| 3045F |
|
370 |
340 |
$20.00 |
| 99441 |
|
13 |
13 |
$12.56 |
| G9797 |
Patient is not on a high intensity statin therapy |
4,653 |
3,974 |
$2.90 |
| G9277 |
Documentation that the patient is on daily aspirin or anti-platelet or has documentation of a valid contraindication or exception to aspirin/anti-platelet; contraindications/exceptions include anti-coagulant use, allergy to aspirin or anti-platelets, history of gastrointestinal bleed and bleeding disorder; additionally, the following exceptions documented by the physician as a reason for not taking daily aspirin or anti-platelet are acceptable (use of non-steroidal anti-inflammatory agents, documented risk for drug interaction, uncontrolled hypertension defined as >180 systolic or >110 diastolic or gastroesophageal reflux) |
1,759 |
1,511 |
$0.03 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
6,190 |
5,187 |
$0.01 |
| 3725F |
|
763 |
755 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
2,949 |
2,621 |
$0.00 |
| 2022F |
|
672 |
637 |
$0.00 |
| 3015F |
|
173 |
164 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$0.00 |
| 3046F |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,868 |
2,423 |
$0.00 |
| 3048F |
|
939 |
874 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
714 |
660 |
$0.00 |
| 1000F |
|
907 |
829 |
$0.00 |
| 3014F |
|
374 |
359 |
$0.00 |
| 1036F |
|
798 |
736 |
$0.00 |
| 3052F |
|
14 |
12 |
$0.00 |
| 4000F |
|
44 |
38 |
$0.00 |
| 3060F |
|
97 |
92 |
$0.00 |
| 3061F |
|
329 |
306 |
$0.00 |
| 3017F |
|
60 |
58 |
$0.00 |
| G9273 |
Blood pressure has a systolic value of < 140 and a diastolic value of < 90 |
126 |
110 |
$0.00 |
| 3049F |
|
101 |
97 |
$0.00 |