| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,225 |
13,089 |
$524K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,029 |
4,233 |
$209K |
| 76830 |
Ultrasound, transvaginal |
1,245 |
1,031 |
$92K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,194 |
1,049 |
$73K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
82 |
80 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,030 |
1,771 |
$59K |
| 81025 |
|
11,184 |
9,435 |
$55K |
| 81003 |
|
22,855 |
19,306 |
$37K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
674 |
611 |
$32K |
| 59430 |
|
331 |
269 |
$31K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
612 |
535 |
$30K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
541 |
374 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,464 |
1,278 |
$22K |
| 0503F |
|
1,087 |
785 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
298 |
255 |
$21K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
279 |
185 |
$19K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
243 |
219 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,575 |
1,304 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
165 |
153 |
$13K |
| 90715 |
|
346 |
294 |
$12K |
| 59025 |
Fetal non-stress test |
458 |
403 |
$11K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
232 |
169 |
$10K |
| 99406 |
|
1,137 |
916 |
$10K |
| 96160 |
|
880 |
631 |
$9K |
| 3008F |
|
27,376 |
18,390 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
104 |
92 |
$9K |
| 3074F |
|
11,688 |
8,075 |
$6K |
| 90688 |
|
395 |
338 |
$5K |
| 90686 |
|
309 |
264 |
$5K |
| 3078F |
|
9,561 |
6,572 |
$4K |
| 76857 |
|
57 |
49 |
$2K |
| 3079F |
|
2,180 |
1,674 |
$2K |
| 96127 |
|
395 |
320 |
$2K |
| 87210 |
|
298 |
272 |
$1K |
| 99385 |
|
14 |
12 |
$1K |
| 81002 |
|
322 |
277 |
$776.72 |
| 0500F |
|
454 |
425 |
$705.00 |
| 99442 |
|
29 |
27 |
$632.94 |
| 3077F |
|
535 |
438 |
$440.00 |
| 3044F |
|
613 |
513 |
$392.40 |
| 3080F |
|
473 |
381 |
$380.00 |
| 3075F |
|
351 |
298 |
$162.41 |
| 1036F |
|
31,266 |
23,045 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
6,200 |
4,974 |
$0.00 |
| 1034F |
|
1,958 |
1,555 |
$0.00 |
| 1125F |
|
647 |
527 |
$0.00 |
| 1126F |
|
7,038 |
5,392 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
139 |
127 |
$0.00 |
| 1035F |
|
333 |
274 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
218 |
205 |
$0.00 |
| G8478 |
Blood pressure measurement not performed or documented, reason not given |
114 |
107 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
408 |
242 |
$0.00 |
| G8450 |
Beta-blocker therapy prescribed |
13 |
13 |
$0.00 |
| 4010F |
|
31 |
29 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
28 |
27 |
$0.00 |
| 3017F |
|
20 |
15 |
$0.00 |
| 3014F |
|
24 |
17 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
14 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
40 |
38 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
12 |
12 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |
| 1111F |
|
13 |
13 |
$0.00 |
| 0502F |
|
18,072 |
12,571 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
36,655 |
27,684 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14,636 |
9,997 |
$0.00 |
| 3015F |
|
5,484 |
3,457 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
20,087 |
15,816 |
$0.00 |
| 1160F |
|
46 |
44 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
2,701 |
1,859 |
$0.00 |
| G9796 |
Patient is currently on a high intensity statin therapy |
257 |
235 |
$0.00 |
| G8506 |
Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
120 |
114 |
$0.00 |
| G8477 |
Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg |
200 |
184 |
$0.00 |
| 4004F |
|
880 |
710 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
897 |
656 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
66 |
57 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
21 |
20 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
168 |
116 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
12 |
12 |
$0.00 |
| 1159F |
|
45 |
41 |
$0.00 |