| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,195 |
6,422 |
$203K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,249 |
4,045 |
$176K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,200 |
1,120 |
$23K |
| 99497 |
|
804 |
790 |
$18K |
| 99490 |
Ccm add 20min |
652 |
652 |
$12K |
| 99443 |
|
127 |
124 |
$12K |
| 99442 |
|
209 |
200 |
$10K |
| 93000 |
|
1,383 |
1,369 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
46 |
46 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
369 |
364 |
$3K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
145 |
145 |
$2K |
| 94664 |
|
289 |
276 |
$2K |
| 90686 |
|
461 |
461 |
$1K |
| 99487 |
Ccm add 20min |
46 |
46 |
$1K |
| 90688 |
|
155 |
155 |
$1K |
| 96127 |
|
227 |
226 |
$879.47 |
| 99397 |
|
560 |
560 |
$663.56 |
| 36410 |
|
219 |
216 |
$619.22 |
| 99051 |
|
343 |
320 |
$564.70 |
| 0012A |
|
13 |
13 |
$520.00 |
| 0011A |
|
13 |
13 |
$520.00 |
| 36415 |
Collection of venous blood by venipuncture |
702 |
694 |
$422.50 |
| 99401 |
|
18 |
18 |
$307.48 |
| 90674 |
|
129 |
129 |
$163.58 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
75 |
74 |
$141.86 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
57 |
57 |
$78.52 |
| 90756 |
|
26 |
26 |
$69.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
12 |
$61.44 |
| 3074F |
|
273 |
254 |
$22.50 |
| 99000 |
|
169 |
167 |
$22.27 |
| 3078F |
|
302 |
284 |
$15.00 |
| G0008 |
Administration of influenza virus vaccine |
738 |
738 |
$4.90 |
| 3079F |
|
30 |
28 |
$2.50 |
| 1170F |
|
297 |
297 |
$1.79 |
| 1126F |
|
42 |
42 |
$1.79 |
| 1160F |
|
272 |
271 |
$0.87 |
| 1036F |
|
108 |
106 |
$0.67 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
765 |
608 |
$0.00 |
| 3008F |
|
516 |
449 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,610 |
1,324 |
$0.00 |
| 1125F |
|
373 |
363 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
194 |
193 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
469 |
469 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
562 |
531 |
$0.00 |
| 4037F |
|
61 |
61 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
22 |
22 |
$0.00 |
| 1030F |
|
60 |
60 |
$0.00 |
| 4010F |
|
85 |
81 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
66 |
54 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
28 |
27 |
$0.00 |
| 99429 |
|
14 |
12 |
$0.00 |
| 2000F |
|
34 |
30 |
$0.00 |
| 99072 |
|
175 |
154 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
465 |
444 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,154 |
1,856 |
$0.00 |
| 1158F |
|
103 |
103 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
73 |
70 |
$0.00 |
| 3725F |
|
79 |
78 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
86 |
85 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
327 |
325 |
$0.00 |
| 0521F |
|
83 |
78 |
$0.00 |
| 1159F |
|
288 |
287 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
116 |
113 |
$0.00 |
| 3016F |
|
53 |
53 |
$0.00 |
| 90662 |
|
91 |
91 |
$0.00 |
| G9666 |
Patient's highest fasting or direct ldl-c laboratory test result in the measurement period or two years prior to the beginning of the measurement period is 70-189 mg/dl |
27 |
27 |
$0.00 |
| 4145F |
|
30 |
30 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
43 |
43 |
$0.00 |