| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,186 |
13,768 |
$53K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,588 |
4,566 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,778 |
2,767 |
$13K |
| 99441 |
|
4,108 |
3,885 |
$8K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
747 |
746 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,830 |
1,777 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
393 |
372 |
$4K |
| 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 |
6,974 |
6,915 |
$2K |
| 90686 |
|
151 |
149 |
$2K |
| S9470 |
Nutritional counseling, dietitian visit |
6,468 |
6,407 |
$2K |
| S9451 |
Exercise classes, non-physician provider, per session |
5,450 |
5,414 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
5,396 |
5,350 |
$2K |
| 3074F |
|
3,343 |
3,228 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
277 |
274 |
$1K |
| 3077F |
|
898 |
865 |
$640.00 |
| 3078F |
|
1,529 |
1,492 |
$577.50 |
| 88150 |
|
978 |
976 |
$430.05 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
211 |
210 |
$406.65 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
166 |
164 |
$357.15 |
| 99401 |
|
8,056 |
7,899 |
$324.81 |
| 99397 |
|
69 |
68 |
$267.99 |
| 99385 |
|
25 |
25 |
$259.84 |
| 99497 |
|
18 |
17 |
$176.20 |
| 36415 |
Collection of venous blood by venipuncture |
3,410 |
3,263 |
$133.20 |
| 3044F |
|
736 |
723 |
$120.00 |
| 1159F |
|
4,340 |
4,292 |
$110.00 |
| 1111F |
|
81 |
81 |
$105.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,366 |
1,348 |
$55.66 |
| 99496 |
|
42 |
41 |
$55.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
570 |
561 |
$53.39 |
| 96127 |
|
6,075 |
6,029 |
$50.97 |
| 99406 |
|
365 |
349 |
$44.57 |
| 82042 |
|
225 |
224 |
$42.88 |
| 96160 |
|
1,726 |
1,715 |
$35.62 |
| G0008 |
Administration of influenza virus vaccine |
269 |
269 |
$25.00 |
| 3051F |
|
198 |
192 |
$20.00 |
| 3052F |
|
86 |
85 |
$20.00 |
| 99051 |
|
69 |
65 |
$15.07 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
6,223 |
6,178 |
$15.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
7,269 |
7,037 |
$2.05 |
| 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) |
1,178 |
1,108 |
$0.18 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
763 |
759 |
$0.00 |
| 3016F |
|
4,360 |
4,330 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
93 |
92 |
$0.00 |
| 3045F |
|
372 |
368 |
$0.00 |
| 3015F |
|
501 |
500 |
$0.00 |
| 3725F |
|
5,207 |
5,152 |
$0.00 |
| 3046F |
|
196 |
191 |
$0.00 |
| 4004F |
|
1,580 |
1,572 |
$0.00 |
| 99080 |
|
148 |
39 |
$0.00 |
| 1160F |
|
29 |
29 |
$0.00 |
| 99408 |
|
228 |
228 |
$0.00 |
| 99429 |
|
1,800 |
1,742 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
599 |
584 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
8,417 |
6,795 |
$0.00 |
| 1000F |
|
4,770 |
4,710 |
$0.00 |
| 1036F |
|
5,204 |
5,135 |
$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) |
1,511 |
1,431 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
438 |
438 |
$0.00 |
| 4010F |
|
377 |
360 |
$0.00 |
| 3017F |
|
387 |
378 |
$0.00 |
| 3008F |
|
5,206 |
5,164 |
$0.00 |
| 3048F |
|
242 |
235 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,023 |
1,016 |
$0.00 |
| 3049F |
|
39 |
39 |
$0.00 |
| 1126F |
|
28 |
28 |
$0.00 |
| 1157F |
|
14 |
14 |
$0.00 |
| 1170F |
|
29 |
29 |
$0.00 |