| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,550 |
6,530 |
$278K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,019 |
979 |
$73K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,583 |
1,577 |
$65K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,218 |
1,214 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
902 |
890 |
$10K |
| 99408 |
|
545 |
543 |
$9K |
| 90661 |
|
365 |
360 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,166 |
2,163 |
$8K |
| 90674 |
|
134 |
134 |
$4K |
| 96127 |
|
2,083 |
2,081 |
$3K |
| 90688 |
|
136 |
136 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
146 |
119 |
$2K |
| 90686 |
|
62 |
62 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
103 |
102 |
$1K |
| 93000 |
|
28 |
26 |
$455.28 |
| 90756 |
|
16 |
16 |
$357.95 |
| 0031A |
|
28 |
27 |
$285.84 |
| 3044F |
|
185 |
171 |
$240.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$213.28 |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
77 |
77 |
$185.64 |
| 90658 |
|
12 |
12 |
$76.80 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
161 |
157 |
$62.58 |
| 36415 |
Collection of venous blood by venipuncture |
4,063 |
4,023 |
$58.48 |
| H0001 |
Alcohol and/or drug assessment |
1,037 |
1,035 |
$37.80 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,311 |
1,308 |
$30.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
842 |
840 |
$12.00 |
| 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 |
79 |
79 |
$6.32 |
| 82270 |
|
17 |
17 |
$2.74 |
| 3074F |
|
158 |
152 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
425 |
424 |
$0.00 |
| 1036F |
|
320 |
319 |
$0.00 |
| 3008F |
|
356 |
350 |
$0.00 |
| 1000F |
|
181 |
181 |
$0.00 |
| 3061F |
|
36 |
35 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
79 |
72 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
324 |
294 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 4010F |
|
25 |
25 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
73 |
72 |
$0.00 |
| 91301 |
|
38 |
35 |
$0.00 |
| 4086F |
|
12 |
12 |
$0.00 |
| 1160F |
|
44 |
41 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,960 |
1,949 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,098 |
1,088 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
34 |
33 |
$0.00 |
| 3725F |
|
348 |
348 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
107 |
105 |
$0.00 |
| 4004F |
|
226 |
226 |
$0.00 |
| P3001 |
Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician |
12 |
12 |
$0.00 |
| 2022F |
|
28 |
28 |
$0.00 |
| 3016F |
|
51 |
51 |
$0.00 |
| 3078F |
|
54 |
54 |
$0.00 |
| 99401 |
|
90 |
87 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
13 |
13 |
$0.00 |