| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
17,223 |
14,230 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,328 |
10,438 |
$89K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
4,366 |
4,130 |
$53K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,707 |
3,434 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,873 |
3,496 |
$39K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,613 |
1,582 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,755 |
1,571 |
$25K |
| 93000 |
|
2,588 |
2,576 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
999 |
880 |
$18K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
525 |
502 |
$17K |
| 90688 |
|
1,150 |
1,150 |
$17K |
| 97803 |
|
11,669 |
11,318 |
$13K |
| 92552 |
|
2,283 |
2,189 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,012 |
1,994 |
$9K |
| 94010 |
|
492 |
486 |
$8K |
| 90686 |
|
698 |
695 |
$7K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
211 |
208 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,140 |
1,126 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
11,998 |
11,610 |
$5K |
| 99441 |
|
1,599 |
1,436 |
$5K |
| 99385 |
|
148 |
147 |
$4K |
| H0001 |
Alcohol and/or drug assessment |
10,040 |
9,805 |
$3K |
| 99406 |
|
323 |
321 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
196 |
167 |
$3K |
| 0012A |
|
78 |
78 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
325 |
305 |
$2K |
| 3074F |
|
1,891 |
1,501 |
$2K |
| 3079F |
|
1,544 |
1,324 |
$2K |
| 97802 |
|
912 |
905 |
$2K |
| 3078F |
|
1,739 |
1,415 |
$2K |
| 82274 |
|
268 |
265 |
$2K |
| 3075F |
|
1,264 |
1,098 |
$2K |
| 86580 |
|
186 |
183 |
$2K |
| 0011A |
|
32 |
32 |
$1K |
| 87320 |
|
475 |
469 |
$855.41 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,453 |
2,378 |
$643.00 |
| 1111F |
|
243 |
234 |
$475.00 |
| 1126F |
|
5,512 |
5,436 |
$452.00 |
| 0064A |
|
12 |
12 |
$426.66 |
| 99386 |
|
12 |
12 |
$378.65 |
| 92250 |
|
17 |
17 |
$366.74 |
| 90756 |
|
21 |
21 |
$288.96 |
| 90672 |
|
170 |
170 |
$242.58 |
| 99401 |
|
1,550 |
1,245 |
$237.73 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
8,554 |
8,429 |
$213.46 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
31 |
31 |
$186.40 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
9,375 |
9,140 |
$143.25 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
161 |
148 |
$131.21 |
| 83655 |
|
38 |
37 |
$129.67 |
| 3077F |
|
42 |
37 |
$122.00 |
| 0513F |
|
1,469 |
1,207 |
$100.00 |
| 3044F |
|
71 |
69 |
$90.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
9,223 |
8,987 |
$69.00 |
| 82270 |
|
203 |
200 |
$21.35 |
| G9383 |
Patient received screening for hcv infection within the 12 month reporting period |
6,704 |
6,654 |
$20.00 |
| 90461 |
|
82 |
81 |
$15.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
8,358 |
6,299 |
$15.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
286 |
280 |
$12.25 |
| 3061F |
|
143 |
135 |
$12.00 |
| 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) |
286 |
280 |
$10.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
8,851 |
8,697 |
$10.00 |
| 82272 |
|
257 |
254 |
$6.80 |
| 3048F |
|
81 |
79 |
$3.00 |
| 3008F |
|
19,340 |
14,509 |
$1.00 |
| 91301 |
|
128 |
127 |
$0.08 |
| 91300 |
|
30 |
28 |
$0.02 |
| 2022F |
|
37 |
33 |
$0.01 |
| 3016F |
|
7,754 |
7,523 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
5,185 |
3,997 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
547 |
498 |
$0.00 |
| 3725F |
|
2,549 |
2,474 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
202 |
199 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
240 |
234 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
184 |
182 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
8,080 |
6,110 |
$0.00 |
| 4004F |
|
107 |
104 |
$0.00 |
| 99072 |
|
1,881 |
1,712 |
$0.00 |
| 99397 |
|
13 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
5,265 |
4,056 |
$0.00 |
| 1036F |
|
149 |
145 |
$0.00 |
| 1000F |
|
7,732 |
7,481 |
$0.00 |
| 3017F |
|
1,079 |
1,009 |
$0.00 |
| 3014F |
|
300 |
280 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
196 |
194 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
863 |
672 |
$0.00 |
| 4086F |
|
65 |
64 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
14 |
12 |
$0.00 |