| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,561 |
21,991 |
$758K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,279 |
1,278 |
$232K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
4,526 |
1,661 |
$221K |
| 97014 |
|
5,286 |
1,753 |
$201K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,834 |
7,544 |
$137K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,434 |
1,401 |
$124K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,527 |
1,224 |
$119K |
| 97162 |
|
1,024 |
1,023 |
$69K |
| 97124 |
|
3,322 |
1,160 |
$41K |
| H0049 |
Alcohol and/or drug screening |
20,355 |
18,443 |
$39K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
23,253 |
21,543 |
$24K |
| H0001 |
Alcohol and/or drug assessment |
12,306 |
11,289 |
$24K |
| 99442 |
|
2,307 |
2,234 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,472 |
1,465 |
$19K |
| 93015 |
|
295 |
293 |
$18K |
| 90686 |
|
814 |
814 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,127 |
1,119 |
$16K |
| 93970 |
|
84 |
84 |
$15K |
| 93000 |
|
837 |
830 |
$12K |
| 99443 |
|
924 |
898 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
627 |
625 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
441 |
421 |
$6K |
| 3074F |
|
11,180 |
10,378 |
$5K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
16 |
16 |
$5K |
| 3078F |
|
10,408 |
9,678 |
$5K |
| 97802 |
|
4,159 |
3,956 |
$4K |
| 99441 |
|
580 |
563 |
$3K |
| 90673 |
|
63 |
63 |
$3K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
16 |
16 |
$3K |
| 90658 |
|
158 |
158 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
41 |
$3K |
| 3079F |
|
4,232 |
4,061 |
$2K |
| 99385 |
|
89 |
89 |
$2K |
| 97164 |
|
36 |
36 |
$2K |
| 3077F |
|
2,109 |
1,972 |
$1K |
| 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) |
8,985 |
8,442 |
$1K |
| 97163 |
|
14 |
14 |
$994.52 |
| 99386 |
|
12 |
12 |
$857.52 |
| 3075F |
|
2,135 |
2,071 |
$843.15 |
| 3080F |
|
1,327 |
1,227 |
$720.52 |
| 36415 |
Collection of venous blood by venipuncture |
598 |
598 |
$677.20 |
| 90662 |
|
15 |
15 |
$598.79 |
| 0011A |
|
14 |
14 |
$439.61 |
| 11721 |
|
12 |
12 |
$421.47 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
13 |
$250.38 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
72 |
68 |
$233.35 |
| 1126F |
|
5,398 |
5,007 |
$162.50 |
| 1125F |
|
3,527 |
3,347 |
$150.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
476 |
463 |
$78.50 |
| J1245 |
Injection, dipyridamole, per 10 mg |
12 |
12 |
$40.78 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$40.66 |
| S0610 |
Annual gynecological examination, new patient |
73 |
73 |
$20.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
25,556 |
23,436 |
$17.66 |
| 1159F |
|
115 |
111 |
$10.00 |
| 1160F |
|
242 |
232 |
$10.00 |
| 3008F |
|
22,142 |
19,604 |
$5.70 |
| G9508 |
Documentation that the patient is not on a statin medication |
8,127 |
7,607 |
$2.75 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
577 |
555 |
$1.26 |
| 3044F |
|
1,666 |
1,627 |
$1.17 |
| 3048F |
|
1,323 |
1,255 |
$0.83 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
11,339 |
10,464 |
$0.20 |
| 4010F |
|
2,823 |
2,643 |
$0.20 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
7,927 |
7,343 |
$0.20 |
| 3049F |
|
220 |
216 |
$0.13 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
27 |
27 |
$0.13 |
| 99606 |
|
32 |
32 |
$0.12 |
| 3061F |
|
278 |
270 |
$0.07 |
| 3050F |
|
56 |
53 |
$0.05 |
| 0521F |
|
10,042 |
9,148 |
$0.01 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
70 |
64 |
$0.01 |
| G9275 |
Documentation that patient is a current non-tobacco user |
21,663 |
19,919 |
$0.00 |
| 1000F |
|
19,415 |
17,749 |
$0.00 |
| 1036F |
|
15,741 |
14,356 |
$0.00 |
| G8450 |
Beta-blocker therapy prescribed |
2,085 |
1,950 |
$0.00 |
| 4000F |
|
2,185 |
2,023 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
556 |
500 |
$0.00 |
| S0612 |
Annual gynecological examination, established patient |
12 |
12 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |
| 3725F |
|
16,170 |
14,912 |
$0.00 |
| 3016F |
|
19,508 |
17,766 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
1,457 |
1,367 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
3,344 |
3,131 |
$0.00 |
| 3045F |
|
59 |
50 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
31 |
29 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$0.00 |
| 76140 |
|
15 |
15 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
14 |
14 |
$0.00 |
| 3051F |
|
14 |
13 |
$0.00 |
| 99499 |
|
15 |
14 |
$0.00 |
| 99358 |
Prolong nursin fac eval 15m |
12 |
12 |
$0.00 |