| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,403 |
1,336 |
$11K |
| 90686 |
|
24 |
24 |
$433.70 |
| 90688 |
|
18 |
18 |
$323.28 |
| G0008 |
Administration of influenza virus vaccine |
43 |
43 |
$282.87 |
| 99401 |
|
198 |
191 |
$231.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
38 |
$224.42 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
104 |
103 |
$147.30 |
| 36415 |
Collection of venous blood by venipuncture |
324 |
319 |
$37.94 |
| 1160F |
|
662 |
640 |
$5.00 |
| 99000 |
|
257 |
252 |
$0.00 |
| 4010F |
|
26 |
25 |
$0.00 |
| 3008F |
|
272 |
259 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 94760 |
|
29 |
27 |
$0.00 |
| 3074F |
|
26 |
25 |
$0.00 |
| 1000F |
|
58 |
55 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
52 |
51 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
46 |
45 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
13 |
12 |
$0.00 |
| 1036F |
|
50 |
48 |
$0.00 |
| 1159F |
|
194 |
185 |
$0.00 |
| 3078F |
|
13 |
12 |
$0.00 |
| 3725F |
|
154 |
147 |
$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) |
13 |
13 |
$0.00 |