| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,949 |
7,597 |
$492K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
376 |
320 |
$28K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
218 |
181 |
$24K |
| 99490 |
Ccm add 20min |
1,056 |
861 |
$8K |
| 3044F |
|
1,539 |
1,315 |
$7K |
| 99439 |
|
229 |
156 |
$4K |
| 90756 |
|
289 |
242 |
$4K |
| 90674 |
|
260 |
190 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
336 |
293 |
$2K |
| 90653 |
|
54 |
47 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
313 |
228 |
$2K |
| 3017F |
|
809 |
705 |
$513.42 |
| 82043 |
|
159 |
108 |
$368.37 |
| 99406 |
|
57 |
36 |
$343.98 |
| 99050 |
|
37 |
25 |
$319.49 |
| 1125F |
|
138 |
108 |
$271.02 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
582 |
523 |
$261.50 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
141 |
84 |
$216.04 |
| 96127 |
|
64 |
47 |
$214.13 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
46 |
43 |
$208.23 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
142 |
83 |
$143.97 |
| 3014F |
|
377 |
303 |
$140.00 |
| 99442 |
|
47 |
25 |
$136.47 |
| 86580 |
|
34 |
26 |
$86.46 |
| 1126F |
|
140 |
115 |
$86.05 |
| 3074F |
|
1,030 |
855 |
$80.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
60 |
55 |
$76.96 |
| 3008F |
|
1,630 |
1,332 |
$65.00 |
| 99441 |
|
23 |
15 |
$40.57 |
| 3075F |
|
119 |
104 |
$20.00 |
| 3077F |
|
340 |
277 |
$0.00 |
| 4004F |
|
181 |
169 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
23 |
19 |
$0.00 |
| 3078F |
|
937 |
782 |
$0.00 |
| 1159F |
|
190 |
154 |
$0.00 |
| 4040F |
|
67 |
54 |
$0.00 |
| 1160F |
|
106 |
85 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
18 |
13 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
28 |
27 |
$0.00 |
| G0030 |
Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user |
27 |
19 |
$0.00 |
| 3080F |
|
130 |
108 |
$0.00 |
| 1170F |
|
113 |
92 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
21 |
13 |
$0.00 |
| 3079F |
|
495 |
405 |
$0.00 |
| 4000F |
|
64 |
50 |
$0.00 |
| 2023F |
|
14 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
83 |
67 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
60 |
47 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
207 |
190 |
$-0.01 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
443 |
390 |
$-0.04 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
559 |
495 |
$-0.05 |
| 1036F |
|
686 |
584 |
$-0.05 |
| G8482 |
Influenza immunization administered or previously received |
947 |
831 |
$-0.09 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
957 |
839 |
$-0.09 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
35 |
26 |
$-1022.94 |