| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,265 |
9,486 |
$445K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,171 |
3,696 |
$195K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
372 |
372 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,113 |
1,037 |
$30K |
| 93000 |
|
3,184 |
3,151 |
$24K |
| 99441 |
|
270 |
263 |
$11K |
| 99490 |
Ccm add 20min |
626 |
624 |
$11K |
| 99442 |
|
169 |
160 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
572 |
566 |
$8K |
| 99497 |
|
693 |
690 |
$7K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,686 |
1,676 |
$5K |
| 99397 |
|
1,516 |
1,509 |
$5K |
| 96127 |
|
1,018 |
1,007 |
$5K |
| 90674 |
|
418 |
418 |
$5K |
| 93922 |
|
145 |
127 |
$4K |
| 90756 |
|
340 |
339 |
$3K |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
699 |
694 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
4,995 |
4,937 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
554 |
546 |
$2K |
| 3078F |
|
6,120 |
5,413 |
$2K |
| 3074F |
|
4,351 |
3,907 |
$2K |
| 99406 |
|
314 |
288 |
$1K |
| 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 |
94 |
94 |
$872.50 |
| 0012A |
|
19 |
19 |
$755.90 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,267 |
1,220 |
$693.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,464 |
2,240 |
$579.50 |
| 0011A |
|
14 |
14 |
$558.14 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
875 |
844 |
$425.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,850 |
1,696 |
$414.50 |
| 3079F |
|
1,335 |
1,253 |
$294.63 |
| 91322 |
|
33 |
33 |
$285.04 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
349 |
338 |
$270.50 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
78 |
78 |
$269.92 |
| 99051 |
|
595 |
558 |
$221.27 |
| 99439 |
|
13 |
13 |
$203.68 |
| 90686 |
|
20 |
20 |
$188.51 |
| 90694 |
|
547 |
547 |
$159.79 |
| 96160 |
|
113 |
113 |
$154.03 |
| 3075F |
|
1,490 |
1,423 |
$151.00 |
| 3077F |
|
1,719 |
1,573 |
$130.63 |
| 90653 |
|
17 |
17 |
$119.06 |
| 90480 |
|
33 |
33 |
$88.53 |
| G0008 |
Administration of influenza virus vaccine |
1,347 |
1,346 |
$87.47 |
| 90662 |
|
346 |
346 |
$83.49 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
179 |
178 |
$76.27 |
| G8815 |
Documented reason in the medical records for why the statin therapy was not prescribed (i.e., lower extremity bypass was for a patient with non-artherosclerotic disease) |
32 |
32 |
$65.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
89 |
89 |
$59.55 |
| 99401 |
|
171 |
160 |
$53.76 |
| 1160F |
|
2,413 |
2,268 |
$40.98 |
| 1159F |
|
2,079 |
1,975 |
$23.68 |
| G8482 |
Influenza immunization administered or previously received |
182 |
182 |
$18.15 |
| 3048F |
|
961 |
955 |
$9.00 |
| 3050F |
|
69 |
68 |
$9.00 |
| 3080F |
|
27 |
27 |
$7.50 |
| G8473 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed |
27 |
27 |
$4.00 |
| 3008F |
|
3,504 |
3,269 |
$0.21 |
| 90750 |
|
44 |
44 |
$0.08 |
| 2000F |
|
6,117 |
5,374 |
$0.00 |
| 3017F |
|
502 |
478 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
316 |
316 |
$0.00 |
| 1126F |
|
43 |
43 |
$0.00 |
| 1036F |
|
470 |
465 |
$0.00 |
| 4037F |
|
376 |
376 |
$0.00 |
| 3049F |
|
185 |
184 |
$0.00 |
| 1000F |
|
385 |
380 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
253 |
249 |
$0.00 |
| 3044F |
|
39 |
39 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
30 |
29 |
$0.00 |
| 1170F |
|
93 |
93 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
204 |
202 |
$0.00 |
| 0134A |
|
12 |
12 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
29 |
29 |
$0.00 |
| M1207 |
Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
13 |
13 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
445 |
428 |
$0.00 |
| 3016F |
|
92 |
92 |
$0.00 |
| 99071 |
|
134 |
134 |
$0.00 |
| 3725F |
|
515 |
509 |
$0.00 |
| 4013F |
|
130 |
126 |
$0.00 |
| 99072 |
|
241 |
194 |
$0.00 |
| 97803 |
|
184 |
181 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
31 |
31 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
56 |
56 |
$0.00 |
| 3045F |
|
12 |
12 |
$0.00 |