| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,776 |
5,896 |
$79K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,181 |
1,163 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,427 |
1,301 |
$9K |
| 99401 |
|
2,882 |
2,810 |
$8K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,066 |
1,041 |
$6K |
| 99441 |
|
2,135 |
1,925 |
$5K |
| 99442 |
|
819 |
743 |
$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 |
2,218 |
2,202 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,325 |
3,238 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
473 |
467 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,572 |
2,511 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
159 |
156 |
$633.57 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,223 |
1,111 |
$603.99 |
| G0008 |
Administration of influenza virus vaccine |
88 |
88 |
$384.69 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,339 |
1,336 |
$203.44 |
| 90686 |
|
68 |
68 |
$163.53 |
| 82270 |
|
251 |
248 |
$86.25 |
| 96127 |
|
2,502 |
2,476 |
$72.34 |
| H0001 |
Alcohol and/or drug assessment |
1,614 |
1,596 |
$61.24 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,266 |
1,257 |
$42.34 |
| 99408 |
|
198 |
194 |
$34.90 |
| 82042 |
|
333 |
331 |
$21.75 |
| 96160 |
|
219 |
213 |
$2.71 |
| 99000 |
|
2,811 |
2,579 |
$0.00 |
| 97802 |
|
43 |
41 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,719 |
1,711 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
843 |
812 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,355 |
2,339 |
$0.00 |
| 3008F |
|
81 |
81 |
$0.00 |
| 1036F |
|
272 |
267 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
71 |
71 |
$0.00 |
| 99429 |
|
181 |
176 |
$0.00 |
| 1000F |
|
289 |
284 |
$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) |
126 |
121 |
$0.00 |
| 3074F |
|
24 |
24 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
118 |
115 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,549 |
1,540 |
$0.00 |
| 3016F |
|
230 |
224 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
2,584 |
2,563 |
$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) |
75 |
74 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,876 |
1,859 |
$0.00 |
| 3725F |
|
343 |
337 |
$0.00 |
| 1160F |
|
16 |
12 |
$0.00 |
| 99051 |
|
88 |
86 |
$0.00 |
| 1159F |
|
114 |
108 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
12 |
12 |
$0.00 |