| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,426 |
5,483 |
$373K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,472 |
1,153 |
$58K |
| 99442 |
|
593 |
521 |
$48K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
409 |
409 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
246 |
246 |
$20K |
| Q3014 |
Telehealth originating site facility fee |
708 |
617 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120 |
107 |
$14K |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
307 |
307 |
$11K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
435 |
434 |
$5K |
| 99401 |
|
424 |
377 |
$5K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
372 |
371 |
$4K |
| 94760 |
|
1,059 |
850 |
$2K |
| 99441 |
|
43 |
40 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
273 |
248 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,252 |
1,232 |
$2K |
| 93000 |
|
59 |
58 |
$824.20 |
| 97802 |
|
259 |
217 |
$739.32 |
| 99051 |
|
46 |
43 |
$384.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
53 |
47 |
$229.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
71 |
$182.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,926 |
1,567 |
$31.21 |
| 99000 |
|
434 |
420 |
$9.00 |
| H0001 |
Alcohol and/or drug assessment |
783 |
639 |
$0.17 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,827 |
2,990 |
$0.00 |
| 3050F |
|
12 |
12 |
$0.00 |
| 1160F |
|
2,109 |
1,620 |
$0.00 |
| 3078F |
|
2,627 |
2,102 |
$0.00 |
| 3077F |
|
52 |
41 |
$0.00 |
| 1159F |
|
3,377 |
2,517 |
$0.00 |
| 0521F |
|
428 |
384 |
$0.00 |
| 3725F |
|
1,775 |
1,471 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
926 |
762 |
$0.00 |
| 81002 |
|
54 |
54 |
$0.00 |
| 3016F |
|
742 |
617 |
$0.00 |
| 4013F |
|
32 |
28 |
$0.00 |
| 99072 |
|
136 |
118 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
81 |
76 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
385 |
303 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
27 |
24 |
$0.00 |
| 99490 |
Ccm add 20min |
12 |
12 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$0.00 |
| 90756 |
|
44 |
44 |
$0.00 |
| 1000F |
|
638 |
551 |
$0.00 |
| 1126F |
|
2,106 |
1,616 |
$0.00 |
| 2010F |
|
138 |
120 |
$0.00 |
| 3075F |
|
454 |
409 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
4,188 |
3,227 |
$0.00 |
| 3061F |
|
924 |
920 |
$0.00 |
| 3044F |
|
1,014 |
1,008 |
$0.00 |
| 1170F |
|
2,648 |
2,042 |
$0.00 |
| 1111F |
|
2,722 |
2,057 |
$0.00 |
| 3074F |
|
2,207 |
1,784 |
$0.00 |
| 3048F |
|
434 |
433 |
$0.00 |
| 1036F |
|
760 |
656 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,713 |
1,312 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
719 |
620 |
$0.00 |
| 3008F |
|
4,656 |
3,563 |
$0.00 |
| 3079F |
|
216 |
185 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| 3011F |
|
49 |
49 |
$0.00 |
| 36410 |
|
66 |
63 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| S0340 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
81 |
73 |
$0.00 |
| 3049F |
|
42 |
42 |
$0.00 |
| 4037F |
|
60 |
60 |
$0.00 |
| 80047 |
|
13 |
13 |
$0.00 |