| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,473 |
8,119 |
$89K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
3,673 |
3,671 |
$36K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,354 |
2,353 |
$16K |
| 93000 |
|
857 |
854 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,162 |
1,157 |
$11K |
| H0001 |
Alcohol and/or drug assessment |
12,978 |
12,484 |
$9K |
| 3078F |
|
7,664 |
7,446 |
$8K |
| 3074F |
|
6,093 |
5,985 |
$6K |
| 90658 |
|
997 |
993 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,165 |
1,152 |
$4K |
| 99406 |
|
309 |
294 |
$3K |
| 90688 |
|
164 |
164 |
$2K |
| 3077F |
|
1,036 |
1,018 |
$2K |
| 99442 |
|
588 |
574 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
7,240 |
6,868 |
$2K |
| 1170F |
|
2,524 |
2,418 |
$2K |
| 0011A |
|
46 |
46 |
$2K |
| 82948 |
|
3,672 |
3,530 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
281 |
281 |
$1K |
| 0012A |
|
32 |
32 |
$1K |
| 1125F |
|
2,029 |
1,976 |
$890.35 |
| 3075F |
|
1,213 |
1,205 |
$810.76 |
| 99441 |
|
415 |
413 |
$621.59 |
| 1160F |
|
3,301 |
3,100 |
$540.00 |
| 3079F |
|
494 |
487 |
$525.59 |
| 1126F |
|
4,997 |
4,842 |
$429.78 |
| 1159F |
|
2,966 |
2,765 |
$425.03 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
277 |
277 |
$276.50 |
| 99386 |
|
25 |
25 |
$159.18 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
9,254 |
8,871 |
$74.75 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
89 |
89 |
$46.98 |
| 3044F |
|
1,370 |
1,342 |
$40.74 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
11,908 |
11,458 |
$8.51 |
| 3008F |
|
9,163 |
8,816 |
$3.60 |
| 3061F |
|
1,237 |
1,205 |
$0.99 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,962 |
3,727 |
$0.67 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
184 |
180 |
$0.62 |
| 2022F |
|
469 |
451 |
$0.44 |
| 1157F |
|
2,475 |
2,474 |
$0.05 |
| 3045F |
|
13 |
13 |
$0.03 |
| 3060F |
|
25 |
25 |
$0.03 |
| 3048F |
|
854 |
832 |
$0.01 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
57 |
57 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,694 |
4,501 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
239 |
229 |
$0.00 |
| 2028F |
|
2,795 |
2,682 |
$0.00 |
| 0518F |
|
2,898 |
2,779 |
$0.00 |
| 3725F |
|
8,510 |
8,197 |
$0.00 |
| 3288F |
|
2,921 |
2,799 |
$0.00 |
| 3016F |
|
9,116 |
8,775 |
$0.00 |
| 3050F |
|
279 |
273 |
$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) |
2,391 |
2,206 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
224 |
211 |
$0.00 |
| 4013F |
|
1,751 |
1,619 |
$0.00 |
| 99397 |
|
44 |
44 |
$0.00 |
| 3015F |
|
108 |
99 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
146 |
137 |
$0.00 |
| 1175F |
|
15 |
15 |
$0.00 |
| 1494F |
|
25 |
25 |
$0.00 |
| 1090F |
|
25 |
25 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
11,894 |
11,446 |
$0.00 |
| 0001F |
|
480 |
453 |
$0.00 |
| 1000F |
|
9,042 |
8,699 |
$0.00 |
| 2001F |
|
885 |
861 |
$0.00 |
| 3017F |
|
2,367 |
2,264 |
$0.00 |
| 4293F |
|
9,151 |
8,806 |
$0.00 |
| 4010F |
|
1,261 |
1,158 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
2,395 |
2,210 |
$0.00 |
| 2010F |
|
8,525 |
8,200 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
107 |
100 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,735 |
3,591 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
55 |
55 |
$0.00 |
| G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk |
1,572 |
1,457 |
$0.00 |
| 82043 |
|
109 |
109 |
$0.00 |
| 3014F |
|
1,480 |
1,439 |
$0.00 |
| 1005F |
|
802 |
778 |
$0.00 |
| 3049F |
|
398 |
379 |
$0.00 |
| G0202 |
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed |
253 |
245 |
$0.00 |
| 1101F |
|
526 |
492 |
$0.00 |
| 91301 |
|
94 |
94 |
$0.00 |
| 96127 |
|
125 |
124 |
$0.00 |
| 2000F |
|
494 |
464 |
$0.00 |
| 99443 |
|
159 |
158 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
38 |
38 |
$0.00 |
| 1034F |
|
88 |
87 |
$0.00 |
| 82962 |
|
78 |
78 |
$0.00 |