| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,838 |
3,998 |
$261K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
888 |
883 |
$72K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
339 |
339 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
179 |
177 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
469 |
458 |
$1K |
| 99401 |
|
51 |
51 |
$945.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$634.13 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
38 |
35 |
$604.76 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
14 |
14 |
$218.47 |
| 3074F |
|
805 |
728 |
$200.00 |
| 3078F |
|
753 |
677 |
$162.50 |
| 3725F |
|
183 |
182 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
442 |
436 |
$0.00 |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
92 |
87 |
$0.00 |
| 1160F |
|
376 |
345 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
276 |
274 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
561 |
555 |
$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) |
140 |
140 |
$0.00 |
| 4013F |
|
163 |
163 |
$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 |
66 |
65 |
$0.00 |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
16 |
16 |
$0.00 |
| 3045F |
|
14 |
14 |
$0.00 |
| 2010F |
|
367 |
312 |
$0.00 |
| 3008F |
|
5,309 |
4,159 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
476 |
433 |
$0.00 |
| 3061F |
|
130 |
126 |
$0.00 |
| 3048F |
|
286 |
283 |
$0.00 |
| 4010F |
|
151 |
148 |
$0.00 |
| 3011F |
|
27 |
27 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
142 |
141 |
$0.00 |
| 3044F |
|
93 |
90 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
86 |
85 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
26 |
24 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
64 |
63 |
$0.00 |
| 3049F |
|
28 |
28 |
$0.00 |
| 3341F |
|
86 |
72 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3075F |
|
13 |
13 |
$0.00 |