| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,903 |
11,313 |
$886K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,573 |
5,313 |
$530K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,023 |
3,022 |
$267K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,281 |
2,281 |
$182K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,195 |
3,887 |
$138K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,325 |
1,320 |
$128K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,779 |
3,731 |
$59K |
| 90756 |
|
2,230 |
2,213 |
$52K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
977 |
901 |
$40K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
1,002 |
992 |
$33K |
| 99401 |
|
1,521 |
1,456 |
$29K |
| 93000 |
|
2,246 |
2,233 |
$25K |
| 93922 |
|
190 |
189 |
$15K |
| P3001 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician |
629 |
619 |
$14K |
| H0001 |
Alcohol and/or drug assessment |
970 |
963 |
$13K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,961 |
5,751 |
$11K |
| 90658 |
|
688 |
682 |
$11K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,240 |
1,230 |
$10K |
| 95923 |
|
70 |
70 |
$8K |
| 36410 |
|
695 |
687 |
$8K |
| 99408 |
|
3,684 |
3,602 |
$8K |
| 90661 |
|
266 |
266 |
$8K |
| 99443 |
|
141 |
127 |
$7K |
| 90688 |
|
481 |
471 |
$7K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
301 |
299 |
$7K |
| 99397 |
|
98 |
98 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
50 |
$7K |
| 99496 |
|
38 |
38 |
$6K |
| 3078F |
|
12,688 |
11,174 |
$5K |
| 3074F |
|
12,670 |
11,187 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
173 |
168 |
$2K |
| 99403 |
|
48 |
47 |
$2K |
| 99000 |
|
267 |
257 |
$950.59 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$925.46 |
| 90694 |
|
16 |
16 |
$748.96 |
| 36415 |
Collection of venous blood by venipuncture |
309 |
300 |
$659.67 |
| 99402 |
|
13 |
12 |
$547.20 |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
213 |
199 |
$310.41 |
| 90685 |
|
18 |
18 |
$256.37 |
| 99442 |
|
37 |
32 |
$184.69 |
| 3075F |
|
444 |
439 |
$137.50 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$83.79 |
| 3051F |
|
357 |
335 |
$80.00 |
| 1160F |
|
1,394 |
1,337 |
$75.00 |
| 3079F |
|
768 |
745 |
$42.50 |
| 3077F |
|
159 |
154 |
$35.00 |
| 2023F |
|
1,162 |
1,093 |
$20.00 |
| 3044F |
|
1,250 |
1,225 |
$20.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
457 |
429 |
$8.00 |
| 96127 |
|
574 |
571 |
$4.90 |
| 3008F |
|
14,340 |
12,656 |
$3.34 |
| 3725F |
|
6,708 |
6,386 |
$0.05 |
| 2010F |
|
4,436 |
4,089 |
$0.05 |
| 1000F |
|
5,481 |
5,290 |
$0.05 |
| 4013F |
|
913 |
891 |
$0.04 |
| 2028F |
|
1,393 |
1,305 |
$0.04 |
| 3017F |
|
1,541 |
1,472 |
$0.02 |
| S9470 |
Nutritional counseling, dietitian visit |
1,025 |
995 |
$0.01 |
| G8404 |
Lower extremity neurological exam performed and documented |
399 |
389 |
$0.00 |
| 3015F |
|
5,547 |
4,882 |
$0.00 |
| G9797 |
Patient is not on a high intensity statin therapy |
474 |
457 |
$0.00 |
| 3045F |
|
483 |
462 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
668 |
661 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
825 |
790 |
$0.00 |
| 2022F |
|
68 |
66 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
756 |
748 |
$0.00 |
| 1033F |
|
304 |
299 |
$0.00 |
| 1032F |
|
26 |
26 |
$0.00 |
| 1175F |
|
23 |
23 |
$0.00 |
| 3016F |
|
460 |
456 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
26 |
26 |
$0.00 |
| 1159F |
|
87 |
85 |
$0.00 |
| 1158F |
|
27 |
27 |
$0.00 |
| 3288F |
|
29 |
29 |
$0.00 |
| 99499 |
|
22 |
19 |
$0.00 |
| 3014F |
|
541 |
516 |
$0.00 |
| 3048F |
|
1,532 |
1,505 |
$0.00 |
| 3061F |
|
1,159 |
1,133 |
$0.00 |
| 1036F |
|
5,984 |
5,830 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
5,396 |
5,193 |
$0.00 |
| 1111F |
|
119 |
116 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
2,368 |
2,249 |
$0.00 |
| G8473 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed |
118 |
116 |
$0.00 |
| 2020F |
|
506 |
483 |
$0.00 |
| 3341F |
|
694 |
677 |
$0.00 |
| 3060F |
|
119 |
117 |
$0.00 |
| 1125F |
|
1,319 |
1,252 |
$0.00 |
| S0340 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
13 |
13 |
$0.00 |
| 1034F |
|
127 |
117 |
$0.00 |
| 99429 |
|
270 |
218 |
$0.00 |
| 4010F |
|
94 |
92 |
$0.00 |
| 1170F |
|
76 |
76 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
138 |
133 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,670 |
1,578 |
$0.00 |
| G9228 |
Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) |
68 |
57 |
$0.00 |
| 3049F |
|
70 |
70 |
$0.00 |
| 1126F |
|
70 |
70 |
$0.00 |