| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,745 |
10,052 |
$807K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,863 |
1,835 |
$167K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,473 |
1,449 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,138 |
1,113 |
$105K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
835 |
798 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,606 |
1,596 |
$22K |
| 90674 |
|
691 |
690 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
6,515 |
6,224 |
$10K |
| 90658 |
|
556 |
554 |
$8K |
| 96127 |
|
4,206 |
3,968 |
$7K |
| 99000 |
|
4,838 |
4,654 |
$6K |
| 3074F |
|
7,532 |
6,533 |
$6K |
| 99401 |
|
296 |
280 |
$6K |
| 3078F |
|
6,990 |
6,109 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
11,266 |
9,606 |
$5K |
| 90756 |
|
256 |
251 |
$5K |
| S9470 |
Nutritional counseling, dietitian visit |
1,385 |
1,367 |
$4K |
| S0341 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stage |
3,706 |
3,473 |
$2K |
| 36410 |
|
164 |
161 |
$1K |
| 3079F |
|
2,463 |
2,270 |
$1K |
| 3075F |
|
1,771 |
1,673 |
$947.51 |
| 82565 |
|
818 |
726 |
$902.96 |
| 99385 |
|
15 |
14 |
$686.51 |
| 84479 |
|
108 |
108 |
$373.99 |
| 99072 |
|
338 |
325 |
$301.50 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
5,580 |
4,897 |
$284.70 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$150.14 |
| G9275 |
Documentation that patient is a current non-tobacco user |
10,060 |
8,637 |
$144.00 |
| 3044F |
|
6,481 |
5,659 |
$100.03 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
9,216 |
8,065 |
$88.00 |
| 1159F |
|
1,399 |
1,360 |
$80.03 |
| 1160F |
|
1,285 |
1,252 |
$77.53 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
1,534 |
1,472 |
$76.00 |
| 3051F |
|
387 |
338 |
$60.00 |
| 3077F |
|
57 |
52 |
$45.00 |
| 3725F |
|
9,359 |
7,967 |
$0.07 |
| 3008F |
|
8,810 |
7,525 |
$0.07 |
| 1000F |
|
8,689 |
7,424 |
$0.06 |
| 1036F |
|
8,618 |
7,373 |
$0.06 |
| 3048F |
|
3,712 |
3,333 |
$0.04 |
| 3015F |
|
2,812 |
2,457 |
$0.03 |
| 3061F |
|
1,419 |
1,265 |
$0.03 |
| 3050F |
|
1,490 |
1,332 |
$0.01 |
| 3017F |
|
1,442 |
1,218 |
$0.01 |
| 3014F |
|
2,132 |
1,830 |
$0.01 |
| 3016F |
|
7,426 |
6,487 |
$0.00 |
| G9797 |
Patient is not on a high intensity statin therapy |
131 |
127 |
$0.00 |
| 2028F |
|
227 |
225 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,812 |
4,998 |
$0.00 |
| 4004F |
|
322 |
309 |
$0.00 |
| S9441 |
Asthma education, non-physician provider, per session |
273 |
236 |
$0.00 |
| 99408 |
|
63 |
62 |
$0.00 |
| 2022F |
|
65 |
57 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
84 |
76 |
$0.00 |
| 3280F |
|
51 |
51 |
$0.00 |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
109 |
107 |
$0.00 |
| 3046F |
|
15 |
13 |
$0.00 |
| 3045F |
|
18 |
16 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,187 |
4,456 |
$0.00 |
| 2016F |
|
188 |
164 |
$0.00 |
| 3049F |
|
2,382 |
2,160 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
5,476 |
4,783 |
$0.00 |
| S0340 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
342 |
327 |
$0.00 |
| 4008F |
|
472 |
448 |
$0.00 |
| 3052F |
|
14 |
14 |
$0.00 |
| 4010F |
|
445 |
422 |
$0.00 |
| 4293F |
|
427 |
410 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
26 |
24 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
67 |
66 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
66 |
64 |
$0.00 |
| 3292F |
|
14 |
14 |
$0.00 |
| 3279F |
|
18 |
18 |
$0.00 |
| 2023F |
|
59 |
53 |
$0.00 |
| G2011 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes |
58 |
58 |
$0.00 |
| 99429 |
|
16 |
12 |
$0.00 |