| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,600 |
13,273 |
$498K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,399 |
14,633 |
$391K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,673 |
10,233 |
$388K |
| 90832 |
Psychotherapy, 30 minutes with patient |
451 |
292 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
31 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
112 |
56 |
$1K |
| 80053 |
Comprehensive metabolic panel |
91 |
89 |
$948.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
13 |
$696.28 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
12 |
$658.50 |
| 36415 |
Collection of venous blood by venipuncture |
260 |
253 |
$363.69 |
| 80061 |
Lipid panel |
27 |
26 |
$307.58 |
| 99406 |
|
24 |
24 |
$234.78 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$113.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$88.04 |
| 96127 |
|
69 |
54 |
$43.67 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
764 |
619 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
975 |
599 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
309 |
241 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
314 |
227 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
815 |
629 |
$0.00 |
| 1036F |
|
505 |
376 |
$0.00 |
| 99000 |
|
94 |
90 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
55 |
50 |
$0.00 |
| 3014F |
|
71 |
51 |
$0.00 |
| 3079F |
|
47 |
36 |
$0.00 |
| G9511 |
Index event date phq-9 or phq-9m score greater than 9 documented during the twelve month denominator identification period |
20 |
19 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
7,156 |
5,636 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,519 |
3,617 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
4,039 |
3,227 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
28 |
27 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
187 |
141 |
$0.00 |
| 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) |
13 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
29 |
28 |
$0.00 |
| G8506 |
Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
12 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
14 |
14 |
$0.00 |
| 3077F |
|
13 |
13 |
$0.00 |