| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,116 |
1,064 |
$95K |
| 99443 |
|
437 |
422 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
27 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$839.30 |
| H0049 |
Alcohol and/or drug screening |
514 |
470 |
$58.00 |
| 3725F |
|
344 |
319 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
549 |
500 |
$0.00 |
| 3016F |
|
548 |
501 |
$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) |
325 |
299 |
$0.00 |
| 0521F |
|
268 |
251 |
$0.00 |
| 3078F |
|
135 |
128 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15 |
12 |
$0.00 |
| 1000F |
|
319 |
297 |
$0.00 |
| 3074F |
|
107 |
101 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
92 |
87 |
$0.00 |
| 1125F |
|
91 |
88 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
305 |
285 |
$0.00 |
| 3008F |
|
431 |
387 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
320 |
298 |
$0.00 |
| G8450 |
Beta-blocker therapy prescribed |
104 |
97 |
$0.00 |
| 1036F |
|
288 |
268 |
$0.00 |
| 4010F |
|
156 |
141 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
78 |
75 |
$0.00 |
| 1126F |
|
44 |
40 |
$0.00 |