| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,369 |
13,816 |
$904K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,404 |
2,367 |
$98K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,988 |
1,946 |
$83K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,324 |
2,063 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,078 |
921 |
$28K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
1,741 |
1,388 |
$21K |
| H0001 |
Alcohol and/or drug assessment |
8,847 |
6,942 |
$16K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
10,149 |
8,408 |
$13K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
11,066 |
8,080 |
$10K |
| 90694 |
|
170 |
165 |
$6K |
| 0012A |
|
181 |
180 |
$6K |
| 99385 |
|
64 |
63 |
$6K |
| 0064A |
|
118 |
116 |
$5K |
| 96127 |
|
7,971 |
6,431 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
299 |
292 |
$4K |
| 99408 |
|
4,567 |
3,983 |
$4K |
| 0011A |
|
164 |
164 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
208 |
197 |
$3K |
| 90656 |
|
132 |
130 |
$3K |
| 3074F |
|
2,910 |
2,432 |
$2K |
| H0049 |
Alcohol and/or drug screening |
3,407 |
3,335 |
$2K |
| 3078F |
|
2,646 |
2,190 |
$2K |
| 86769 |
|
375 |
286 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
200 |
184 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$1K |
| G0476 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
152 |
136 |
$1K |
| 3079F |
|
1,475 |
1,199 |
$1K |
| 3077F |
|
1,324 |
964 |
$862.50 |
| 36415 |
Collection of venous blood by venipuncture |
4,961 |
4,875 |
$792.66 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,743 |
1,430 |
$744.00 |
| 0134A |
|
23 |
23 |
$673.24 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$667.17 |
| 99406 |
|
653 |
574 |
$614.71 |
| 0013A |
|
78 |
66 |
$601.60 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
63 |
61 |
$454.87 |
| 3075F |
|
468 |
387 |
$407.50 |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
237 |
217 |
$360.00 |
| 3080F |
|
565 |
411 |
$337.50 |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
110 |
103 |
$334.20 |
| 99401 |
|
15 |
15 |
$314.22 |
| S9470 |
Nutritional counseling, dietitian visit |
3,208 |
2,556 |
$280.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
3,452 |
2,740 |
$31.00 |
| 88142 |
|
63 |
61 |
$25.12 |
| S0340 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
3,730 |
3,142 |
$12.75 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15,909 |
10,612 |
$11.50 |
| S9449 |
Weight management classes, non-physician provider, per session |
2,088 |
1,690 |
$10.50 |
| S9452 |
Nutrition classes, non-physician provider, per session |
2,621 |
2,141 |
$10.50 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,727 |
2,545 |
$10.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
7,719 |
5,557 |
$8.00 |
| 3008F |
|
20,914 |
14,016 |
$2.59 |
| 99442 |
|
84 |
74 |
$0.00 |
| 3015F |
|
702 |
617 |
$0.00 |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
127 |
94 |
$0.00 |
| S9453 |
Smoking cessation classes, non-physician provider, per session |
1,967 |
1,616 |
$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) |
635 |
545 |
$0.00 |
| H0006 |
Alcohol and/or drug services; case management |
352 |
345 |
$0.00 |
| 3725F |
|
10,531 |
7,651 |
$0.00 |
| G9383 |
Patient received screening for hcv infection within the 12 month reporting period |
151 |
150 |
$0.00 |
| 3016F |
|
2,747 |
2,615 |
$0.00 |
| 2028F |
|
186 |
174 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
165 |
152 |
$0.00 |
| 4013F |
|
909 |
791 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
192 |
177 |
$0.00 |
| 3050F |
|
574 |
459 |
$0.00 |
| 4004F |
|
798 |
784 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
105 |
98 |
$0.00 |
| 1159F |
|
32 |
30 |
$0.00 |
| 2022F |
|
93 |
79 |
$0.00 |
| 0521F |
|
20 |
20 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
27 |
25 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
15 |
15 |
$0.00 |
| 1160F |
|
14 |
13 |
$0.00 |
| 3045F |
|
13 |
12 |
$0.00 |
| 91313 |
|
24 |
24 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
3,095 |
2,420 |
$0.00 |
| 1000F |
|
4,318 |
3,895 |
$0.00 |
| 3048F |
|
2,667 |
2,161 |
$0.00 |
| 3049F |
|
941 |
777 |
$0.00 |
| G9508 |
Documentation that the patient is not on a statin medication |
93 |
76 |
$0.00 |
| 3044F |
|
2,694 |
2,170 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
734 |
638 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
173 |
169 |
$0.00 |
| 1036F |
|
2,480 |
2,364 |
$0.00 |
| 3017F |
|
318 |
283 |
$0.00 |
| 91301 |
|
420 |
389 |
$0.00 |
| 3061F |
|
370 |
320 |
$0.00 |
| 4000F |
|
270 |
258 |
$0.00 |
| 3066F |
|
43 |
40 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
265 |
242 |
$0.00 |
| 3292F |
|
1,363 |
1,335 |
$0.00 |
| 99000 |
|
254 |
240 |
$0.00 |
| 97802 |
|
29 |
28 |
$0.00 |
| 3072F |
|
61 |
49 |
$0.00 |
| 36410 |
|
222 |
215 |
$0.00 |
| 91306 |
|
103 |
101 |
$0.00 |
| 4010F |
|
97 |
67 |
$0.00 |
| 3014F |
|
58 |
52 |
$0.00 |
| 4293F |
|
252 |
250 |
$0.00 |
| S0612 |
Annual gynecological examination, established patient |
103 |
91 |
$0.00 |
| 82270 |
|
19 |
16 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
20 |
19 |
$0.00 |
| 2020F |
|
58 |
48 |
$0.00 |
| 1125F |
|
21 |
21 |
$0.00 |