| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,762 |
3,613 |
$27K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,035 |
2,015 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,291 |
6,115 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,099 |
1,073 |
$21K |
| 99442 |
|
544 |
523 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
346 |
340 |
$5K |
| 99441 |
|
1,314 |
1,258 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,588 |
1,582 |
$3K |
| 3079F |
|
1,902 |
1,785 |
$3K |
| H0049 |
Alcohol and/or drug screening |
784 |
770 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
239 |
238 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
119 |
119 |
$2K |
| 0011A |
|
48 |
48 |
$2K |
| 90686 |
|
100 |
100 |
$2K |
| 3074F |
|
1,049 |
1,036 |
$2K |
| 3078F |
|
983 |
973 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
2,545 |
2,526 |
$1K |
| 3077F |
|
273 |
272 |
$924.50 |
| 94010 |
|
39 |
39 |
$911.04 |
| 36415 |
Collection of venous blood by venipuncture |
3,942 |
3,871 |
$880.17 |
| 1126F |
|
1,356 |
1,308 |
$779.00 |
| 90688 |
|
51 |
51 |
$743.22 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
362 |
361 |
$644.84 |
| 99397 |
|
147 |
145 |
$573.28 |
| 0012A |
|
13 |
13 |
$484.38 |
| 3075F |
|
186 |
185 |
$253.51 |
| 94014 |
|
38 |
38 |
$215.36 |
| 1159F |
|
1,224 |
1,210 |
$205.00 |
| 3080F |
|
62 |
62 |
$201.50 |
| 1160F |
|
1,432 |
1,416 |
$167.50 |
| 94016 |
|
177 |
177 |
$145.91 |
| 1125F |
|
808 |
780 |
$133.10 |
| 82274 |
|
18 |
18 |
$93.30 |
| 90658 |
|
17 |
17 |
$75.46 |
| 1170F |
|
14 |
13 |
$50.00 |
| 90656 |
|
12 |
12 |
$20.81 |
| 80061 |
Lipid panel |
421 |
420 |
$14.10 |
| 3048F |
|
168 |
165 |
$10.00 |
| 3044F |
|
837 |
824 |
$8.00 |
| 3008F |
|
4,175 |
3,922 |
$0.35 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,242 |
2,182 |
$0.00 |
| A4927 |
Gloves, non-sterile, per 100 |
1,794 |
1,712 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,705 |
2,645 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
2,032 |
2,003 |
$0.00 |
| 3725F |
|
1,975 |
1,949 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,248 |
2,233 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,215 |
3,183 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
1,643 |
1,574 |
$0.00 |
| A4245 |
Alcohol wipes, per box |
1,775 |
1,697 |
$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) |
144 |
144 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
526 |
521 |
$0.00 |
| 3016F |
|
1,821 |
1,796 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
120 |
120 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
157 |
157 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
2,198 |
2,187 |
$0.00 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
12 |
12 |
$0.00 |
| 0521F |
|
1,503 |
1,458 |
$0.00 |
| 1090F |
|
89 |
87 |
$0.00 |
| 1494F |
|
14 |
13 |
$0.00 |
| 3050F |
|
162 |
159 |
$0.00 |
| 4025F |
|
31 |
31 |
$0.00 |
| 2028F |
|
123 |
122 |
$0.00 |
| 0518F |
|
14 |
13 |
$0.00 |
| 3023F |
|
32 |
32 |
$0.00 |
| 1033F |
|
118 |
114 |
$0.00 |
| 3288F |
|
14 |
13 |
$0.00 |
| 82272 |
|
25 |
24 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,816 |
2,744 |
$0.00 |
| 2010F |
|
1,837 |
1,814 |
$0.00 |
| 3049F |
|
92 |
88 |
$0.00 |
| 3011F |
|
782 |
768 |
$0.00 |
| 1220F |
|
85 |
85 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
58 |
58 |
$0.00 |
| 1036F |
|
1,667 |
1,652 |
$0.00 |
| 2001F |
|
1,645 |
1,624 |
$0.00 |
| 3754F |
|
55 |
55 |
$0.00 |
| 1000F |
|
1,993 |
1,904 |
$0.00 |
| 2000F |
|
1,690 |
1,669 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
215 |
211 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
340 |
337 |
$0.00 |
| 2016F |
|
31 |
31 |
$0.00 |
| 82270 |
|
51 |
49 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
122 |
122 |
$0.00 |
| 3066F |
|
55 |
55 |
$0.00 |
| 4086F |
|
136 |
136 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
181 |
176 |
$0.00 |
| 1123F |
|
87 |
85 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
50 |
49 |
$0.00 |
| 4144F |
|
31 |
31 |
$0.00 |
| 1005F |
|
31 |
31 |
$0.00 |
| 4140F |
|
31 |
31 |
$0.00 |
| 3061F |
|
48 |
48 |
$0.00 |
| 91301 |
|
75 |
72 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
14 |
13 |
$0.00 |
| 1101F |
|
14 |
13 |
$0.00 |
| 3017F |
|
54 |
48 |
$0.00 |