| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,508 |
18,014 |
$841K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,282 |
4,191 |
$218K |
| 99442 |
|
1,842 |
1,716 |
$59K |
| 99497 |
|
1,547 |
1,535 |
$46K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,587 |
1,543 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
855 |
795 |
$14K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
489 |
488 |
$9K |
| 93000 |
|
760 |
753 |
$6K |
| 99397 |
|
431 |
421 |
$4K |
| 90674 |
|
917 |
915 |
$3K |
| 99441 |
|
143 |
142 |
$3K |
| 0013A |
|
180 |
180 |
$3K |
| 90756 |
|
129 |
129 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
16 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,491 |
1,456 |
$2K |
| 99491 |
Ccm add 20min |
127 |
127 |
$797.02 |
| H0001 |
Alcohol and/or drug assessment |
95 |
95 |
$691.85 |
| 90661 |
|
350 |
350 |
$407.19 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
100 |
83 |
$391.13 |
| 36410 |
|
35 |
35 |
$203.61 |
| G0008 |
Administration of influenza virus vaccine |
866 |
865 |
$112.25 |
| 3078F |
|
1,865 |
1,724 |
$10.00 |
| 3074F |
|
1,305 |
1,217 |
$7.50 |
| 3075F |
|
681 |
662 |
$5.00 |
| 1159F |
|
310 |
230 |
$5.00 |
| 3079F |
|
470 |
455 |
$2.50 |
| 1160F |
|
310 |
230 |
$2.50 |
| 91306 |
|
27 |
27 |
$0.24 |
| 90677 |
|
129 |
129 |
$0.10 |
| 3008F |
|
2,699 |
2,481 |
$0.00 |
| 3048F |
|
902 |
835 |
$0.00 |
| 3061F |
|
1,223 |
1,042 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,080 |
1,897 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
285 |
280 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
250 |
250 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
728 |
673 |
$0.00 |
| 99429 |
|
668 |
574 |
$0.00 |
| 1000F |
|
192 |
191 |
$0.00 |
| 1036F |
|
202 |
199 |
$0.00 |
| 3060F |
|
1,239 |
1,034 |
$0.00 |
| 3044F |
|
1,406 |
1,185 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
96 |
96 |
$0.00 |
| 90480 |
|
33 |
33 |
$0.00 |
| 3052F |
|
13 |
12 |
$0.00 |
| G8506 |
Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
808 |
679 |
$0.00 |
| 3725F |
|
259 |
253 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
307 |
300 |
$0.00 |
| 3051F |
|
943 |
788 |
$0.00 |
| 3016F |
|
223 |
221 |
$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) |
1,039 |
960 |
$0.00 |
| 91313 |
|
49 |
49 |
$0.00 |
| 91304 |
|
33 |
33 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |