| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,416 |
8,432 |
$105K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,569 |
1,567 |
$16K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
952 |
925 |
$13K |
| 99442 |
|
1,654 |
1,559 |
$11K |
| 90656 |
|
1,044 |
1,042 |
$8K |
| H0049 |
Alcohol and/or drug screening |
1,073 |
1,058 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
545 |
544 |
$4K |
| 80053 |
Comprehensive metabolic panel |
3,463 |
3,452 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,109 |
1,108 |
$4K |
| 80061 |
Lipid panel |
3,311 |
3,305 |
$3K |
| 99441 |
|
1,267 |
1,188 |
$3K |
| 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 |
1,761 |
1,755 |
$801.61 |
| 3077F |
|
423 |
414 |
$771.84 |
| 90732 |
|
15 |
15 |
$765.50 |
| 3079F |
|
661 |
648 |
$765.00 |
| 3075F |
|
365 |
362 |
$402.02 |
| 3078F |
|
300 |
295 |
$360.00 |
| 3074F |
|
352 |
345 |
$347.02 |
| 3080F |
|
199 |
197 |
$337.02 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$195.99 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,333 |
3,294 |
$144.64 |
| 1159F |
|
6,616 |
5,729 |
$115.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$111.58 |
| 1160F |
|
7,803 |
6,558 |
$87.50 |
| G9793 |
Patient is currently on a daily aspirin or other antiplatelet |
2,653 |
2,563 |
$55.03 |
| 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) |
637 |
628 |
$27.13 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
632 |
623 |
$26.38 |
| 82043 |
|
12 |
12 |
$25.15 |
| G9796 |
Patient is currently on a high intensity statin therapy |
401 |
395 |
$17.04 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
285 |
283 |
$11.02 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
322 |
321 |
$10.52 |
| H0001 |
Alcohol and/or drug assessment |
2,329 |
2,301 |
$1.34 |
| 3511F |
|
235 |
235 |
$0.51 |
| 4010F |
|
225 |
222 |
$0.03 |
| 3061F |
|
15 |
14 |
$0.02 |
| 3048F |
|
49 |
48 |
$0.02 |
| 1036F |
|
1,756 |
1,731 |
$0.00 |
| 3008F |
|
2,444 |
2,356 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,391 |
1,341 |
$0.00 |
| 3292F |
|
2,240 |
2,234 |
$0.00 |
| 1000F |
|
2,951 |
2,910 |
$0.00 |
| G8473 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed |
107 |
106 |
$0.00 |
| 3268F |
|
12 |
12 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
12 |
12 |
$0.00 |
| 3725F |
|
3,089 |
3,042 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
2,075 |
2,012 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,133 |
2,104 |
$0.00 |
| 3016F |
|
2,954 |
2,910 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
668 |
646 |
$0.00 |
| 2028F |
|
197 |
194 |
$0.00 |