| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,500 |
6,257 |
$494K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,547 |
2,205 |
$168K |
| 99401 |
|
3,776 |
3,277 |
$94K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,102 |
1,016 |
$47K |
| 99442 |
|
517 |
504 |
$39K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
326 |
326 |
$36K |
| 90686 |
|
1,044 |
1,039 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,256 |
1,224 |
$17K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,636 |
1,619 |
$16K |
| 99490 |
Ccm add 20min |
396 |
394 |
$14K |
| 95923 |
|
119 |
119 |
$12K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
804 |
801 |
$11K |
| 99497 |
|
166 |
166 |
$9K |
| 95921 |
|
119 |
119 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
4,051 |
3,989 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
81 |
81 |
$8K |
| 93000 |
|
603 |
601 |
$7K |
| 99441 |
|
150 |
146 |
$7K |
| 91320 |
|
53 |
52 |
$6K |
| 99051 |
|
1,113 |
1,019 |
$6K |
| 0124A |
|
143 |
140 |
$5K |
| 93922 |
|
54 |
54 |
$4K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
238 |
238 |
$4K |
| 96127 |
|
700 |
694 |
$3K |
| 92100 |
|
28 |
28 |
$2K |
| 90746 |
|
24 |
24 |
$2K |
| 90674 |
|
52 |
52 |
$1K |
| 90480 |
|
54 |
53 |
$1K |
| 82270 |
|
422 |
418 |
$1K |
| 94760 |
|
1,813 |
1,583 |
$683.29 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
33 |
32 |
$514.14 |
| 82962 |
|
529 |
487 |
$388.73 |
| 78267 |
|
37 |
37 |
$327.45 |
| 94010 |
|
15 |
15 |
$301.26 |
| H0049 |
Alcohol and/or drug screening |
89 |
81 |
$278.00 |
| S9470 |
Nutritional counseling, dietitian visit |
45 |
40 |
$270.00 |
| 92227 |
|
12 |
12 |
$198.96 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$153.99 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
14 |
$65.52 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
642 |
557 |
$10.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
25 |
25 |
$5.00 |
| 3075F |
|
317 |
293 |
$0.00 |
| 3017F |
|
304 |
266 |
$0.00 |
| 3074F |
|
832 |
738 |
$0.00 |
| 3079F |
|
479 |
432 |
$0.00 |
| 1000F |
|
325 |
316 |
$0.00 |
| 3048F |
|
169 |
167 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,658 |
1,397 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,192 |
1,080 |
$0.00 |
| 3008F |
|
1,839 |
1,621 |
$0.00 |
| 3014F |
|
122 |
105 |
$0.00 |
| 4010F |
|
427 |
385 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,294 |
1,285 |
$0.00 |
| 1036F |
|
301 |
295 |
$0.00 |
| 3061F |
|
13 |
13 |
$0.00 |
| 3754F |
|
12 |
12 |
$0.00 |
| 3044F |
|
154 |
150 |
$0.00 |
| 3011F |
|
106 |
106 |
$0.00 |
| 3080F |
|
95 |
88 |
$0.00 |
| 1125F |
|
28 |
28 |
$0.00 |
| 1170F |
|
29 |
29 |
$0.00 |
| 2023F |
|
37 |
34 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
17 |
16 |
$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) |
26 |
26 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 1101F |
|
32 |
32 |
$0.00 |
| 3078F |
|
863 |
759 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,154 |
1,048 |
$0.00 |
| 3725F |
|
355 |
345 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
776 |
769 |
$0.00 |
| 1158F |
|
95 |
93 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
381 |
349 |
$0.00 |
| 3077F |
|
184 |
169 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
131 |
111 |
$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) |
777 |
709 |
$0.00 |
| 91312 |
|
125 |
123 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
91 |
78 |
$0.00 |
| 99408 |
|
49 |
39 |
$0.00 |
| 1100F |
|
32 |
32 |
$0.00 |
| 3016F |
|
148 |
145 |
$0.00 |
| 1160F |
|
12 |
12 |
$0.00 |
| 1159F |
|
28 |
28 |
$0.00 |
| 3288F |
|
27 |
27 |
$0.00 |