| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,284 |
10,214 |
$31K |
| H0001 |
Alcohol and/or drug assessment |
5,182 |
4,981 |
$20K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
707 |
691 |
$7K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,384 |
3,374 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,400 |
1,390 |
$6K |
| 93000 |
|
1,027 |
1,026 |
$5K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,034 |
1,034 |
$4K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
334 |
329 |
$3K |
| 93272 |
|
1,090 |
1,088 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
4,070 |
3,759 |
$2K |
| 99443 |
|
242 |
220 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
514 |
508 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,698 |
3,623 |
$2K |
| 3074F |
|
2,632 |
2,459 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
987 |
964 |
$2K |
| 99386 |
|
137 |
136 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
737 |
655 |
$1K |
| 3079F |
|
1,294 |
1,217 |
$1K |
| 3078F |
|
1,975 |
1,871 |
$1K |
| 99385 |
|
136 |
133 |
$1K |
| 92552 |
|
218 |
217 |
$876.45 |
| 99442 |
|
99 |
94 |
$756.45 |
| 94010 |
|
27 |
27 |
$455.52 |
| 3077F |
|
240 |
229 |
$318.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
149 |
147 |
$290.40 |
| 99441 |
|
60 |
59 |
$282.38 |
| 3080F |
|
71 |
69 |
$170.50 |
| 1126F |
|
1,299 |
1,223 |
$155.00 |
| 3075F |
|
502 |
487 |
$147.50 |
| 99397 |
|
58 |
58 |
$144.23 |
| 99000 |
|
3,191 |
2,964 |
$126.00 |
| 1159F |
|
2,295 |
2,163 |
$115.00 |
| 1160F |
|
3,654 |
3,525 |
$102.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$100.00 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
891 |
890 |
$91.05 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,428 |
3,376 |
$81.65 |
| 97803 |
|
1,528 |
1,511 |
$75.56 |
| 99173 |
|
32 |
32 |
$75.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
890 |
880 |
$70.00 |
| 80061 |
Lipid panel |
469 |
463 |
$65.54 |
| 1125F |
|
1,725 |
1,634 |
$58.00 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
1,750 |
1,736 |
$49.00 |
| G0271 |
Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes |
2,220 |
2,211 |
$48.85 |
| 99401 |
|
475 |
450 |
$35.22 |
| A4930 |
Gloves, sterile, per pair |
2,640 |
2,437 |
$23.06 |
| 82962 |
|
144 |
143 |
$20.34 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
676 |
651 |
$15.00 |
| 0521F |
|
275 |
265 |
$8.00 |
| 3008F |
|
8,081 |
7,021 |
$4.11 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
89 |
75 |
$0.04 |
| 3016F |
|
3,392 |
3,278 |
$0.04 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,391 |
1,288 |
$0.00 |
| 3011F |
|
182 |
181 |
$0.00 |
| 1000F |
|
3,460 |
3,326 |
$0.00 |
| 1036F |
|
3,519 |
3,369 |
$0.00 |
| 3514F |
|
109 |
109 |
$0.00 |
| 4050F |
|
183 |
180 |
$0.00 |
| 4450F |
|
1,932 |
1,896 |
$0.00 |
| 3049F |
|
51 |
51 |
$0.00 |
| 2000F |
|
24 |
24 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
430 |
408 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
211 |
209 |
$0.00 |
| 97802 |
|
529 |
493 |
$0.00 |
| 3044F |
|
50 |
49 |
$0.00 |
| 3048F |
|
52 |
52 |
$0.00 |
| 3512F |
|
122 |
122 |
$0.00 |
| 2010F |
|
162 |
150 |
$0.00 |
| 1157F |
|
118 |
118 |
$0.00 |
| 3061F |
|
59 |
58 |
$0.00 |
| 1170F |
|
72 |
70 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
30 |
28 |
$0.00 |
| 97804 |
|
51 |
48 |
$0.00 |
| 1158F |
|
197 |
183 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,571 |
1,531 |
$0.00 |
| 3725F |
|
2,453 |
2,447 |
$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) |
207 |
205 |
$0.00 |
| 3050F |
|
27 |
26 |
$0.00 |
| 4013F |
|
84 |
84 |
$0.00 |
| 0556F |
|
92 |
91 |
$0.00 |
| 3288F |
|
70 |
68 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
134 |
129 |
$0.00 |
| 4003F |
|
189 |
186 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
79 |
65 |
$0.00 |
| G0473 |
Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes |
25 |
25 |
$0.00 |
| 4002F |
|
12 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
16 |
15 |
$0.00 |
| G8780 |
Counseling for diet and physical activity performed |
43 |
40 |
$0.00 |