| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,287 |
7,469 |
$353K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
465 |
465 |
$31K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
161 |
161 |
$10K |
| 90688 |
|
364 |
364 |
$7K |
| 99442 |
|
658 |
564 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,030 |
2,026 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
712 |
709 |
$4K |
| 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 |
603 |
537 |
$3K |
| 90756 |
|
116 |
116 |
$2K |
| 90686 |
|
110 |
110 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,915 |
1,915 |
$2K |
| 99422 |
|
101 |
83 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
19 |
$502.73 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
65 |
65 |
$440.01 |
| 36415 |
Collection of venous blood by venipuncture |
1,425 |
1,414 |
$366.54 |
| 90656 |
|
30 |
30 |
$258.83 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, 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 |
268 |
229 |
$240.00 |
| 36410 |
|
55 |
53 |
$169.44 |
| H0001 |
Alcohol and/or drug assessment |
1,865 |
1,865 |
$139.87 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,819 |
1,819 |
$98.50 |
| S9452 |
Nutrition classes, non-physician provider, per session |
83 |
83 |
$60.30 |
| 1160F |
|
251 |
251 |
$15.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,813 |
1,813 |
$0.39 |
| 3725F |
|
336 |
335 |
$0.34 |
| S9451 |
Exercise classes, non-physician provider, per session |
69 |
69 |
$0.03 |
| S9449 |
Weight management classes, non-physician provider, per session |
67 |
67 |
$0.03 |
| 1000F |
|
341 |
339 |
$0.00 |
| 1036F |
|
350 |
348 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
12 |
12 |
$0.00 |
| G9508 |
Documentation that the patient is not on a statin medication |
24 |
24 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
12 |
12 |
$0.00 |
| G9150 |
National committee for quality assurance - level 3 medical home |
160 |
156 |
$0.00 |
| 3016F |
|
353 |
351 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
14 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
83 |
83 |
$0.00 |
| 97803 |
|
67 |
67 |
$0.00 |
| 99401 |
|
15 |
15 |
$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) |
12 |
12 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
12 |
12 |
$0.00 |