| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,589 |
16,063 |
$663K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,538 |
9,971 |
$558K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,556 |
1,530 |
$115K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,460 |
1,426 |
$111K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,412 |
5,928 |
$67K |
| 93000 |
|
4,054 |
3,924 |
$47K |
| 36415 |
Collection of venous blood by venipuncture |
17,706 |
15,992 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,881 |
1,820 |
$32K |
| 90686 |
|
2,375 |
2,109 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
230 |
220 |
$21K |
| 81002 |
|
5,384 |
5,105 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
140 |
131 |
$10K |
| 99000 |
|
11,127 |
9,188 |
$9K |
| 96160 |
|
3,633 |
3,558 |
$8K |
| 90656 |
|
206 |
205 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,159 |
1,087 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
157 |
146 |
$3K |
| 90674 |
|
296 |
270 |
$3K |
| 90756 |
|
201 |
178 |
$2K |
| 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 |
90 |
88 |
$2K |
| 92250 |
|
14 |
14 |
$480.11 |
| 69209 |
|
34 |
29 |
$387.77 |
| G0008 |
Administration of influenza virus vaccine |
1,121 |
1,057 |
$383.06 |
| G0180 |
Physician or allowed practitioner 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 |
16 |
16 |
$308.61 |
| 81000 |
|
94 |
90 |
$180.45 |
| 82270 |
|
78 |
78 |
$166.59 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
46 |
45 |
$115.72 |
| 99397 |
|
12 |
12 |
$112.68 |
| 82272 |
|
13 |
13 |
$32.25 |
| G0102 |
Prostate cancer screening; digital rectal examination |
12 |
12 |
$16.65 |
| 3044F |
|
620 |
485 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,463 |
1,211 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
507 |
450 |
$0.00 |
| 3017F |
|
41 |
38 |
$0.00 |
| 3074F |
|
939 |
792 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,124 |
951 |
$0.00 |
| 1036F |
|
454 |
342 |
$0.00 |
| 1101F |
|
347 |
264 |
$0.00 |
| 1170F |
|
392 |
288 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
70 |
65 |
$0.00 |
| 86769 |
|
111 |
96 |
$0.00 |
| 1126F |
|
73 |
55 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
31 |
25 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 1111F |
|
125 |
83 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
44 |
31 |
$0.00 |
| 3075F |
|
17 |
16 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
290 |
229 |
$0.00 |
| 3078F |
|
783 |
653 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
433 |
309 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,445 |
1,196 |
$0.00 |
| 3725F |
|
775 |
731 |
$0.00 |
| 1124F |
|
38 |
24 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
106 |
95 |
$0.00 |
| 1159F |
|
184 |
141 |
$0.00 |
| 1158F |
|
192 |
142 |
$0.00 |
| 1160F |
|
183 |
140 |
$0.00 |