| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
5,804 |
5,787 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,888 |
13,938 |
$74K |
| 93000 |
|
6,693 |
6,623 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,294 |
9,297 |
$41K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
6,386 |
6,362 |
$34K |
| 86580 |
|
4,181 |
4,165 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,568 |
3,541 |
$31K |
| 99606 |
|
1,672 |
1,588 |
$29K |
| 82947 |
|
7,151 |
6,358 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,861 |
7,876 |
$17K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
6,390 |
6,365 |
$17K |
| 99407 |
|
841 |
840 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,042 |
3,586 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
180 |
179 |
$8K |
| 99403 |
|
3,761 |
3,753 |
$7K |
| 3074F |
|
6,105 |
5,771 |
$6K |
| 3078F |
|
4,487 |
4,309 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,533 |
5,520 |
$5K |
| 92081 |
|
1,773 |
1,766 |
$4K |
| 99441 |
|
3,040 |
2,859 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
12,089 |
11,585 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
659 |
658 |
$2K |
| 1159F |
|
14,426 |
12,465 |
$2K |
| 1170F |
|
4,877 |
4,262 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,183 |
818 |
$2K |
| 1126F |
|
6,249 |
5,553 |
$2K |
| 1160F |
|
14,518 |
12,533 |
$2K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
18,539 |
16,278 |
$1K |
| 99442 |
|
2,057 |
1,951 |
$1K |
| 1125F |
|
6,050 |
5,505 |
$1K |
| 3079F |
|
2,202 |
2,085 |
$1K |
| 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 |
3,671 |
3,657 |
$921.50 |
| 0521F |
|
11,736 |
10,179 |
$879.94 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
293 |
293 |
$663.08 |
| 99408 |
|
838 |
834 |
$617.34 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
12,978 |
11,922 |
$540.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
12,981 |
11,918 |
$360.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
5,494 |
5,482 |
$292.93 |
| 3075F |
|
539 |
521 |
$290.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
196 |
196 |
$240.00 |
| H0049 |
Alcohol and/or drug screening |
201 |
201 |
$240.00 |
| 81002 |
|
234 |
221 |
$95.66 |
| 99173 |
|
1,207 |
1,207 |
$95.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
5,091 |
5,081 |
$90.00 |
| 3048F |
|
1,364 |
1,354 |
$90.00 |
| 1158F |
|
9,860 |
8,661 |
$80.00 |
| 1157F |
|
9,564 |
8,384 |
$80.00 |
| 3080F |
|
12 |
12 |
$50.00 |
| 92555 |
|
14 |
14 |
$49.36 |
| 3077F |
|
12 |
12 |
$45.00 |
| G8710 |
Patient prescribed antibiotic |
3,300 |
3,193 |
$40.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
1,425 |
1,396 |
$40.00 |
| 3044F |
|
3,986 |
3,959 |
$33.00 |
| 3049F |
|
420 |
416 |
$20.00 |
| H0001 |
Alcohol and/or drug assessment |
2,506 |
2,504 |
$1.06 |
| 3008F |
|
10,800 |
9,941 |
$0.30 |
| 99409 |
|
132 |
130 |
$0.08 |
| 4010F |
|
124 |
122 |
$0.02 |
| 3028F |
|
1,151 |
1,134 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,442 |
2,266 |
$0.00 |
| 3016F |
|
4,109 |
4,099 |
$0.00 |
| 3725F |
|
4,986 |
4,974 |
$0.00 |
| 4004F |
|
558 |
556 |
$0.00 |
| 99080 |
|
1,131 |
1,113 |
$0.00 |
| 3050F |
|
335 |
334 |
$0.00 |
| 1033F |
|
390 |
390 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
55 |
55 |
$0.00 |
| 3288F |
|
103 |
103 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
62 |
61 |
$0.00 |
| 1100F |
|
86 |
86 |
$0.00 |
| 99397 |
|
13 |
13 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
31 |
31 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
21 |
20 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,103 |
1,044 |
$0.00 |
| 1036F |
|
5,157 |
5,140 |
$0.00 |
| 2000F |
|
10,688 |
9,697 |
$0.00 |
| 2010F |
|
13,026 |
11,865 |
$0.00 |
| 2001F |
|
10,385 |
9,508 |
$0.00 |
| 99000 |
|
6,989 |
6,734 |
$0.00 |
| 1000F |
|
4,609 |
4,595 |
$0.00 |
| 1220F |
|
1,048 |
1,047 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
231 |
231 |
$0.00 |
| 3014F |
|
186 |
185 |
$0.00 |
| 94760 |
|
1,522 |
1,500 |
$0.00 |
| G8861 |
Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) ordered and documented, review of systems and medication history or pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed |
13 |
13 |
$0.00 |
| 1101F |
|
85 |
85 |
$0.00 |
| 99443 |
|
14 |
14 |
$0.00 |
| 3017F |
|
14 |
14 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
13 |
13 |
$0.00 |