| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,927 |
3,244 |
$19K |
| 93000 |
|
1,142 |
1,139 |
$12K |
| 94060 |
|
124 |
124 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,344 |
1,277 |
$4K |
| 94010 |
|
136 |
136 |
$4K |
| 90686 |
|
136 |
136 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
182 |
175 |
$848.41 |
| 99402 |
|
1,058 |
1,058 |
$653.24 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
191 |
179 |
$434.87 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
333 |
333 |
$256.76 |
| 99408 |
|
1,033 |
1,031 |
$251.43 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,061 |
1,057 |
$119.24 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,007 |
1,006 |
$103.93 |
| 36415 |
Collection of venous blood by venipuncture |
1,599 |
1,561 |
$101.45 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
746 |
593 |
$45.85 |
| 99000 |
|
325 |
325 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
1,210 |
937 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
726 |
577 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
836 |
781 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
4,343 |
3,401 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,253 |
1,177 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
23 |
23 |
$0.00 |
| 1126F |
|
58 |
39 |
$0.00 |
| 3008F |
|
91 |
72 |
$0.00 |
| 99441 |
|
13 |
12 |
$0.00 |
| 2010F |
|
93 |
73 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
19 |
17 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
234 |
217 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,368 |
2,638 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,238 |
1,196 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
1,674 |
1,402 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
1,066 |
1,061 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
696 |
556 |
$0.00 |
| 99173 |
|
1,025 |
1,024 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
4,215 |
3,306 |
$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) |
1,233 |
959 |
$0.00 |
| 99072 |
|
659 |
517 |
$0.00 |
| 1159F |
|
92 |
71 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,679 |
3,624 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
131 |
101 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
55 |
$0.00 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
63 |
54 |
$0.00 |
| 97803 |
|
26 |
26 |
$0.00 |
| 1160F |
|
92 |
71 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
16 |
14 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
32 |
28 |
$0.00 |