| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,483 |
15,980 |
$610K |
| 99401 |
|
9,165 |
7,493 |
$101K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,912 |
1,909 |
$74K |
| 93000 |
|
3,486 |
3,470 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
552 |
543 |
$40K |
| 90688 |
|
1,404 |
1,399 |
$23K |
| 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 |
3,331 |
3,289 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,550 |
1,539 |
$19K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,612 |
1,593 |
$17K |
| 99442 |
|
534 |
488 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
294 |
294 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
7,151 |
7,011 |
$9K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,364 |
5,248 |
$7K |
| H0001 |
Alcohol and/or drug assessment |
589 |
552 |
$6K |
| 99000 |
|
6,625 |
6,175 |
$4K |
| 3044F |
|
1,074 |
959 |
$2K |
| 3074F |
|
2,959 |
2,518 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
99 |
99 |
$2K |
| 99443 |
|
59 |
53 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
160 |
157 |
$1K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13,588 |
9,838 |
$1K |
| 3079F |
|
2,337 |
2,029 |
$1K |
| 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) |
196 |
185 |
$821.50 |
| 3078F |
|
1,081 |
899 |
$775.50 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
148 |
129 |
$742.45 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
110 |
108 |
$687.35 |
| 0124A |
|
16 |
16 |
$683.10 |
| 82270 |
|
217 |
209 |
$457.47 |
| 3080F |
|
577 |
510 |
$416.50 |
| 3077F |
|
654 |
585 |
$397.50 |
| 3051F |
|
77 |
71 |
$350.00 |
| S9470 |
Nutritional counseling, dietitian visit |
171 |
170 |
$315.50 |
| 3045F |
|
53 |
49 |
$300.01 |
| 3075F |
|
482 |
409 |
$268.50 |
| 90658 |
|
59 |
59 |
$258.26 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
991 |
850 |
$196.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
120 |
120 |
$163.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,528 |
4,094 |
$161.00 |
| 3048F |
|
1,911 |
1,721 |
$120.00 |
| 1125F |
|
1,974 |
1,833 |
$115.00 |
| G9508 |
Documentation that the patient is not on a statin medication |
43 |
42 |
$64.50 |
| 3061F |
|
1,409 |
1,271 |
$64.00 |
| 91312 |
|
16 |
16 |
$55.60 |
| 1160F |
|
2,203 |
2,060 |
$45.50 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
41 |
41 |
$43.71 |
| 1159F |
|
2,317 |
2,134 |
$35.00 |
| 3050F |
|
621 |
544 |
$8.00 |
| P3001 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician |
13 |
13 |
$0.01 |
| G9275 |
Documentation that patient is a current non-tobacco user |
3,544 |
3,522 |
$0.00 |
| 1000F |
|
3,320 |
3,290 |
$0.00 |
| 1036F |
|
2,523 |
2,504 |
$0.00 |
| 3049F |
|
989 |
916 |
$0.00 |
| 3014F |
|
210 |
207 |
$0.00 |
| 3017F |
|
51 |
51 |
$0.00 |
| 3008F |
|
753 |
530 |
$0.00 |
| S0612 |
Annual gynecological examination, established patient |
42 |
42 |
$0.00 |
| 3072F |
|
13 |
13 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
12 |
12 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
64 |
57 |
$0.00 |
| 4086F |
|
12 |
12 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
57 |
43 |
$0.00 |
| 3725F |
|
4,562 |
4,462 |
$0.00 |
| 99072 |
|
807 |
797 |
$0.00 |
| 3015F |
|
112 |
111 |
$0.00 |
| 3016F |
|
94 |
94 |
$0.00 |
| 2022F |
|
15 |
14 |
$0.00 |
| G8477 |
Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg |
26 |
25 |
$0.00 |