| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,804 |
17,995 |
$56K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,146 |
1,053 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
812 |
749 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,805 |
1,746 |
$19K |
| 90688 |
|
1,221 |
1,180 |
$17K |
| 91320 |
|
101 |
99 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,354 |
1,291 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
137 |
119 |
$2K |
| 90480 |
|
96 |
93 |
$2K |
| 90658 |
|
158 |
157 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
265 |
243 |
$1K |
| 99490 |
Ccm add 20min |
1,521 |
1,451 |
$856.20 |
| 0011A |
|
39 |
39 |
$750.00 |
| 99310 |
Prolong nursin fac eval 15m |
12 |
12 |
$654.45 |
| 0012A |
|
26 |
26 |
$610.00 |
| 99406 |
|
2,251 |
2,155 |
$568.94 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
728 |
663 |
$473.96 |
| 96127 |
|
1,889 |
1,695 |
$241.63 |
| 90662 |
|
104 |
87 |
$138.35 |
| G0008 |
Administration of influenza virus vaccine |
136 |
125 |
$115.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
90 |
72 |
$33.80 |
| 99484 |
|
112 |
66 |
$24.59 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
30 |
28 |
$19.97 |
| 99441 |
|
13 |
12 |
$17.41 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
717 |
651 |
$0.00 |
| 4035F |
|
516 |
499 |
$0.00 |
| 1159F |
|
5,590 |
5,258 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
1,538 |
1,471 |
$0.00 |
| 4040F |
|
441 |
424 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,298 |
5,915 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
159 |
157 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
167 |
162 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,663 |
5,270 |
$0.00 |
| G0030 |
Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user |
2,051 |
1,960 |
$0.00 |
| 2022F |
|
303 |
285 |
$0.00 |
| 1160F |
|
5,589 |
5,257 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
167 |
165 |
$0.00 |
| 3078F |
|
9,270 |
8,869 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,678 |
1,567 |
$0.00 |
| 3046F |
|
433 |
400 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,284 |
1,223 |
$0.00 |
| 3288F |
|
581 |
558 |
$0.00 |
| 3015F |
|
502 |
458 |
$0.00 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
599 |
556 |
$0.00 |
| 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) |
1,149 |
1,104 |
$0.00 |
| 0518F |
|
31 |
29 |
$0.00 |
| 4004F |
|
222 |
217 |
$0.00 |
| 3077F |
|
48 |
47 |
$0.00 |
| G9991 |
Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
41 |
39 |
$0.00 |
| 1100F |
|
47 |
29 |
$0.00 |
| G9990 |
Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
80 |
71 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
17 |
16 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$0.00 |
| 1090F |
|
13 |
13 |
$0.00 |
| G0029 |
Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period |
30 |
30 |
$0.00 |
| 4037F |
|
506 |
488 |
$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) |
2,056 |
1,961 |
$0.00 |
| 1126F |
|
1,594 |
1,516 |
$0.00 |
| 3079F |
|
2,185 |
2,126 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
480 |
464 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
1,965 |
1,850 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,368 |
1,303 |
$0.00 |
| 3074F |
|
7,754 |
7,448 |
$0.00 |
| 1036F |
|
5,573 |
5,201 |
$0.00 |
| 3075F |
|
3,583 |
3,466 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
2,144 |
2,044 |
$0.00 |
| 3061F |
|
14 |
14 |
$0.00 |
| 3351F |
|
800 |
764 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,053 |
1,011 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,724 |
5,425 |
$0.00 |
| 1125F |
|
167 |
160 |
$0.00 |
| 3353F |
|
52 |
52 |
$0.00 |
| 1000F |
|
7,444 |
7,006 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
5,531 |
5,175 |
$0.00 |
| 3017F |
|
3,675 |
3,396 |
$0.00 |
| 3008F |
|
7,930 |
7,468 |
$0.00 |
| 91301 |
|
54 |
49 |
$0.00 |
| 3044F |
|
40 |
39 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
14 |
14 |
$0.00 |