| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,193 |
8,737 |
$421K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
485 |
471 |
$28K |
| H0001 |
Alcohol and/or drug assessment |
919 |
851 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
140 |
138 |
$9K |
| 99401 |
|
845 |
813 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
116 |
116 |
$5K |
| 99406 |
|
349 |
297 |
$4K |
| S9452 |
Nutrition classes, non-physician provider, per session |
1,079 |
850 |
$3K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
306 |
302 |
$3K |
| S9451 |
Exercise classes, non-physician provider, per session |
1,078 |
847 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,083 |
2,036 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
65 |
$3K |
| 99442 |
|
241 |
218 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
746 |
706 |
$3K |
| 96160 |
|
105 |
105 |
$2K |
| 90686 |
|
135 |
130 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
211 |
211 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
74 |
67 |
$840.03 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,284 |
2,065 |
$716.75 |
| 90682 |
|
14 |
14 |
$700.98 |
| 94760 |
|
1,040 |
946 |
$643.98 |
| 1126F |
|
3,774 |
3,146 |
$344.12 |
| 1160F |
|
2,954 |
2,366 |
$173.00 |
| 1125F |
|
932 |
714 |
$154.12 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
747 |
691 |
$80.00 |
| G9150 |
National committee for quality assurance - level 3 medical home |
2,452 |
1,871 |
$72.50 |
| 3078F |
|
302 |
246 |
$66.00 |
| 1159F |
|
639 |
587 |
$46.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
113 |
106 |
$30.00 |
| 3075F |
|
105 |
76 |
$22.00 |
| 3074F |
|
66 |
54 |
$14.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
107 |
107 |
$14.30 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
438 |
396 |
$11.25 |
| 3008F |
|
4,287 |
3,440 |
$7.00 |
| 1170F |
|
15 |
14 |
$3.00 |
| 3079F |
|
13 |
12 |
$2.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,130 |
1,035 |
$0.00 |
| 99429 |
|
897 |
781 |
$0.00 |
| 1000F |
|
2,175 |
1,921 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,634 |
1,485 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
850 |
742 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
517 |
395 |
$0.00 |
| 4293F |
|
416 |
401 |
$0.00 |
| 1036F |
|
2,084 |
1,905 |
$0.00 |
| 1034F |
|
106 |
84 |
$0.00 |
| 2010F |
|
530 |
481 |
$0.00 |
| 3017F |
|
19 |
16 |
$0.00 |
| 3048F |
|
15 |
15 |
$0.00 |
| 3061F |
|
17 |
15 |
$0.00 |
| 3016F |
|
2,089 |
1,845 |
$0.00 |
| 3725F |
|
1,179 |
1,089 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
392 |
301 |
$0.00 |
| 4004F |
|
105 |
83 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,730 |
2,110 |
$0.00 |
| 0556F |
|
367 |
333 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
106 |
84 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
36 |
26 |
$0.00 |
| 2028F |
|
21 |
16 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
21 |
16 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
33 |
32 |
$0.00 |
| 99080 |
|
136 |
44 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
13 |
13 |
$0.00 |