| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,631 |
13,038 |
$73K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
10,273 |
8,259 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
226 |
125 |
$124.30 |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
18 |
15 |
$56.68 |
| 96101 |
|
30 |
28 |
$29.61 |
| 96127 |
|
114 |
101 |
$0.44 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
384 |
205 |
$0.06 |
| 36416 |
|
17 |
17 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
18 |
18 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
43 |
40 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |
| 1123F |
|
12 |
12 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
14 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
30 |
30 |
$0.00 |
| 0518F |
|
29 |
29 |
$0.00 |
| 1124F |
|
12 |
12 |
$0.00 |
| 86328 |
|
17 |
17 |
$0.00 |
| G9584 |
Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy |
30 |
28 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
26 |
26 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
28 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
14 |
14 |
$0.00 |