| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,830 |
5,371 |
$340K |
| 62323 |
|
455 |
368 |
$34K |
| 64493 |
|
640 |
477 |
$25K |
| 72275 |
|
260 |
217 |
$17K |
| G9578 |
Documentation of signed opioid treatment agreement at least once during opioid therapy |
828 |
787 |
$16K |
| 64494 |
|
666 |
478 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
378 |
337 |
$12K |
| 64635 |
|
90 |
68 |
$12K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
766 |
677 |
$12K |
| G9563 |
Patients who did not have a follow-up evaluation conducted at least every three months during opioid therapy |
793 |
749 |
$11K |
| 95913 |
|
76 |
56 |
$10K |
| 64495 |
|
214 |
174 |
$9K |
| 95886 |
|
152 |
56 |
$6K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
127 |
115 |
$3K |
| 64636 |
|
178 |
69 |
$3K |
| 95887 |
|
76 |
56 |
$3K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
717 |
623 |
$3K |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
475 |
471 |
$2K |
| 99070 |
|
75 |
55 |
$1K |
| 99443 |
|
14 |
14 |
$960.11 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
15 |
15 |
$811.65 |
| 64491 |
|
28 |
13 |
$701.12 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
1,525 |
1,466 |
$697.53 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,943 |
1,760 |
$541.08 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
628 |
582 |
$427.14 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
982 |
968 |
$136.96 |
| G9562 |
Patients who had a follow-up evaluation conducted at least every three months during opioid therapy |
604 |
597 |
$100.93 |
| G9584 |
Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy |
511 |
471 |
$36.60 |
| 1100F |
|
1,038 |
909 |
$0.00 |
| 99408 |
|
16 |
16 |
$0.00 |
| 1006F |
|
870 |
856 |
$0.00 |
| 64490 |
|
28 |
13 |
$0.00 |