| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,817 |
3,665 |
$228K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,814 |
3,491 |
$162K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
103 |
84 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
339 |
188 |
$3K |
| 90686 |
|
197 |
144 |
$2K |
| 99442 |
|
31 |
28 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
341 |
276 |
$895.44 |
| 0002A |
|
18 |
18 |
$726.40 |
| 90674 |
|
34 |
30 |
$457.71 |
| 0001A |
|
14 |
13 |
$402.40 |
| 90756 |
|
60 |
36 |
$330.24 |
| 99497 |
|
22 |
14 |
$52.44 |
| 91300 |
|
46 |
32 |
$0.11 |
| 3078F |
|
468 |
409 |
$0.00 |
| 3288F |
|
257 |
157 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,679 |
1,165 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
141 |
102 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
143 |
116 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
156 |
62 |
$0.00 |
| 4004F |
|
88 |
79 |
$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) |
42 |
27 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
72 |
27 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
28 |
16 |
$0.00 |
| 1160F |
|
17 |
17 |
$0.00 |
| 1159F |
|
17 |
17 |
$0.00 |
| 3074F |
|
355 |
317 |
$0.00 |
| 3079F |
|
117 |
103 |
$0.00 |
| 4010F |
|
25 |
24 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| 3008F |
|
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
36 |
27 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
20 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
24 |
19 |
$0.00 |
| 3075F |
|
48 |
47 |
$0.00 |