| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,603 |
7,640 |
$354K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
494 |
450 |
$22K |
| 99442 |
|
560 |
501 |
$12K |
| 99406 |
|
352 |
310 |
$3K |
| 96127 |
|
173 |
167 |
$601.01 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
14 |
$131.97 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
14 |
14 |
$78.58 |
| H0049 |
Alcohol and/or drug screening |
1,235 |
1,051 |
$36.31 |
| 3008F |
|
693 |
638 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
917 |
816 |
$0.00 |
| 3075F |
|
474 |
451 |
$0.00 |
| 1170F |
|
97 |
48 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
756 |
657 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
157 |
151 |
$0.00 |
| 3074F |
|
1,093 |
1,034 |
$0.00 |
| 3079F |
|
814 |
769 |
$0.00 |
| 1125F |
|
263 |
212 |
$0.00 |
| 1123F |
|
85 |
59 |
$0.00 |
| 1101F |
|
122 |
97 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
541 |
467 |
$0.00 |
| 1036F |
|
924 |
826 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
55 |
51 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
144 |
140 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
352 |
336 |
$0.00 |
| 3080F |
|
93 |
89 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
40 |
38 |
$0.00 |
| 3048F |
|
28 |
28 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
17 |
14 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
166 |
157 |
$0.00 |
| 1005F |
|
13 |
13 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 1159F |
|
605 |
520 |
$0.00 |
| 3078F |
|
833 |
793 |
$0.00 |
| 1158F |
|
74 |
59 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
518 |
473 |
$0.00 |
| G9458 |
Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user |
370 |
351 |
$0.00 |
| 3077F |
|
112 |
106 |
$0.00 |
| 1160F |
|
598 |
519 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
77 |
70 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
285 |
270 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
17 |
14 |
$0.00 |
| 3725F |
|
999 |
884 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
218 |
201 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
55 |
49 |
$0.00 |
| 3288F |
|
141 |
109 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
248 |
217 |
$0.00 |
| 1100F |
|
32 |
30 |
$0.00 |