| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,783 |
7,013 |
$228K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,247 |
1,208 |
$59K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
228 |
199 |
$38K |
| 99397 |
|
2,301 |
2,103 |
$38K |
| 99401 |
|
7,364 |
6,689 |
$25K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
303 |
134 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
434 |
405 |
$16K |
| 99222 |
Initial hospital care, per day, moderate complexity |
222 |
214 |
$14K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,803 |
2,531 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
74 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
105 |
104 |
$3K |
| 99402 |
|
455 |
395 |
$3K |
| 94621 |
|
19 |
19 |
$2K |
| 97802 |
|
4,114 |
3,719 |
$2K |
| 99443 |
|
62 |
61 |
$2K |
| 94729 |
|
19 |
19 |
$823.99 |
| 94726 |
|
19 |
19 |
$767.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$615.34 |
| 94060 |
|
19 |
19 |
$606.06 |
| 99407 |
|
112 |
111 |
$443.12 |
| 99442 |
|
34 |
29 |
$422.43 |
| 99406 |
|
179 |
174 |
$421.63 |
| 3078F |
|
506 |
470 |
$290.00 |
| 3074F |
|
437 |
403 |
$290.00 |
| 36415 |
Collection of venous blood by venipuncture |
750 |
728 |
$185.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
19 |
19 |
$169.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
20 |
13 |
$150.00 |
| 99491 |
Ccm add 20min |
21 |
19 |
$140.67 |
| 94664 |
|
39 |
36 |
$101.91 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$100.66 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,549 |
4,086 |
$55.36 |
| 1160F |
|
277 |
258 |
$45.00 |
| 1126F |
|
306 |
291 |
$40.00 |
| 1159F |
|
461 |
424 |
$35.00 |
| 94010 |
|
19 |
19 |
$33.55 |
| 3016F |
|
2,865 |
2,602 |
$17.00 |
| 1125F |
|
74 |
69 |
$10.00 |
| H0001 |
Alcohol and/or drug assessment |
1,100 |
1,015 |
$7.04 |
| 94760 |
|
30 |
30 |
$0.78 |
| 90658 |
|
12 |
12 |
$0.07 |
| 80047 |
|
57 |
57 |
$0.04 |
| 80061 |
Lipid panel |
268 |
268 |
$0.02 |
| 80053 |
Comprehensive metabolic panel |
267 |
267 |
$0.02 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
767 |
738 |
$0.02 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,409 |
1,293 |
$0.00 |
| 1090F |
|
2,462 |
2,225 |
$0.00 |
| 1158F |
|
231 |
216 |
$0.00 |
| 3725F |
|
581 |
561 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
364 |
332 |
$0.00 |
| 4551F |
|
29 |
27 |
$0.00 |
| 0521F |
|
80 |
75 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
367 |
339 |
$0.00 |
| 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) |
150 |
138 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
27 |
25 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
372 |
340 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,909 |
1,748 |
$0.00 |
| 3008F |
|
2,130 |
1,868 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
223 |
209 |
$0.00 |
| 3011F |
|
82 |
82 |
$0.00 |
| 1000F |
|
109 |
103 |
$0.00 |
| G9788 |
Most recent bp is less than or equal to 130/80 mm hg |
445 |
405 |
$0.00 |
| 1036F |
|
766 |
693 |
$0.00 |
| 1157F |
|
233 |
217 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
99 |
93 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
15 |
14 |
$0.00 |
| 0001F |
|
53 |
51 |
$0.00 |