| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
712 |
614 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
884 |
762 |
$4K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
148 |
146 |
$1K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
146 |
145 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
157 |
157 |
$745.68 |
| 99406 |
|
14 |
12 |
$95.79 |
| 36415 |
Collection of venous blood by venipuncture |
386 |
375 |
$70.00 |
| 3074F |
|
446 |
401 |
$20.40 |
| 3079F |
|
102 |
89 |
$20.00 |
| 3008F |
|
731 |
622 |
$4.20 |
| 93000 |
|
14 |
14 |
$3.23 |
| 94760 |
|
36 |
32 |
$2.12 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
707 |
601 |
$0.49 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
637 |
557 |
$0.38 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
689 |
594 |
$0.38 |
| 3078F |
|
471 |
419 |
$0.33 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
94 |
94 |
$0.07 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
162 |
161 |
$0.04 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
142 |
128 |
$0.00 |
| 0521F |
|
223 |
206 |
$0.00 |
| 3028F |
|
370 |
320 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
334 |
296 |
$0.00 |
| 4019F |
|
90 |
89 |
$0.00 |
| 1160F |
|
689 |
587 |
$0.00 |
| 1159F |
|
691 |
588 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
190 |
165 |
$0.00 |
| 3513F |
|
41 |
41 |
$0.00 |
| 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) |
169 |
148 |
$0.00 |
| 4013F |
|
158 |
137 |
$0.00 |
| 82948 |
|
28 |
25 |
$0.00 |
| 97803 |
|
49 |
48 |
$0.00 |
| 1090F |
|
35 |
34 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
12 |
12 |
$0.00 |
| 3725F |
|
25 |
25 |
$0.00 |
| 4004F |
|
13 |
12 |
$0.00 |
| 1125F |
|
228 |
207 |
$0.00 |
| 2000F |
|
674 |
575 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
362 |
308 |
$0.00 |
| 2010F |
|
668 |
572 |
$0.00 |
| 1036F |
|
638 |
539 |
$0.00 |
| 1126F |
|
461 |
409 |
$0.00 |
| 1000F |
|
714 |
609 |
$0.00 |
| 2001F |
|
676 |
574 |
$0.00 |
| 3011F |
|
305 |
269 |
$0.00 |
| 3512F |
|
69 |
69 |
$0.00 |
| 3351F |
|
95 |
95 |
$0.00 |
| 3075F |
|
87 |
82 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
27 |
27 |
$0.00 |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
13 |
13 |
$0.00 |
| 3514F |
|
43 |
43 |
$0.00 |
| 3048F |
|
25 |
25 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |