| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,998 |
1,967 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,303 |
2,192 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,193 |
5,634 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
213 |
209 |
$9K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
942 |
915 |
$9K |
| 99442 |
|
2,910 |
2,776 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
356 |
352 |
$5K |
| 3074F |
|
1,434 |
1,343 |
$2K |
| 3078F |
|
1,353 |
1,287 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
188 |
188 |
$2K |
| 90674 |
|
124 |
124 |
$2K |
| H0049 |
Alcohol and/or drug screening |
813 |
798 |
$1K |
| 93000 |
|
58 |
58 |
$894.83 |
| 94760 |
|
6,225 |
5,656 |
$779.69 |
| 36415 |
Collection of venous blood by venipuncture |
4,553 |
4,454 |
$654.48 |
| 94010 |
|
28 |
28 |
$625.51 |
| 0521F |
|
2,138 |
1,994 |
$584.00 |
| 3079F |
|
336 |
320 |
$531.61 |
| 0011A |
|
12 |
12 |
$478.77 |
| 90688 |
|
26 |
26 |
$465.21 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$452.09 |
| 0012A |
|
12 |
12 |
$440.46 |
| 1126F |
|
395 |
371 |
$351.00 |
| 3077F |
|
156 |
149 |
$292.50 |
| H0001 |
Alcohol and/or drug assessment |
2,773 |
2,741 |
$244.85 |
| 90686 |
|
14 |
14 |
$231.43 |
| 94016 |
|
154 |
154 |
$212.48 |
| 99441 |
|
13 |
13 |
$180.55 |
| 3075F |
|
113 |
112 |
$168.00 |
| 90658 |
|
23 |
23 |
$167.39 |
| 1159F |
|
1,232 |
1,219 |
$120.00 |
| 1160F |
|
1,402 |
1,380 |
$105.00 |
| 3044F |
|
968 |
961 |
$80.00 |
| 1125F |
|
436 |
424 |
$50.00 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
101 |
92 |
$21.12 |
| 1170F |
|
33 |
33 |
$20.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,322 |
3,280 |
$0.62 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,380 |
3,035 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
2,284 |
2,255 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,755 |
2,722 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
1,219 |
1,210 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
4,134 |
3,764 |
$0.00 |
| 3016F |
|
1,589 |
1,557 |
$0.00 |
| 3725F |
|
1,669 |
1,637 |
$0.00 |
| 1090F |
|
45 |
44 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
564 |
531 |
$0.00 |
| 3050F |
|
351 |
349 |
$0.00 |
| 99051 |
|
240 |
238 |
$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) |
194 |
194 |
$0.00 |
| 99421 |
|
41 |
39 |
$0.00 |
| 1494F |
|
63 |
61 |
$0.00 |
| 99397 |
|
26 |
26 |
$0.00 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
15 |
15 |
$0.00 |
| A4245 |
Alcohol wipes, per box |
15 |
15 |
$0.00 |
| 0518F |
|
17 |
17 |
$0.00 |
| 3288F |
|
14 |
14 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
15 |
15 |
$0.00 |
| 2028F |
|
13 |
13 |
$0.00 |
| 1000F |
|
1,645 |
1,606 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
121 |
116 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
140 |
140 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
4,526 |
4,106 |
$0.00 |
| 1036F |
|
1,398 |
1,375 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,537 |
1,399 |
$0.00 |
| 0001F |
|
3,814 |
3,447 |
$0.00 |
| 2001F |
|
1,431 |
1,415 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
71 |
64 |
$0.00 |
| 2010F |
|
1,493 |
1,477 |
$0.00 |
| 2000F |
|
1,451 |
1,435 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,280 |
2,257 |
$0.00 |
| 3008F |
|
1,427 |
1,410 |
$0.00 |
| A4930 |
Gloves, sterile, per pair |
15 |
15 |
$0.00 |
| 3049F |
|
66 |
66 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |
| 91301 |
|
30 |
30 |
$0.00 |
| 1101F |
|
17 |
17 |
$0.00 |