| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,770 |
5,407 |
$399K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,322 |
4,085 |
$295K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,495 |
1,493 |
$182K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,706 |
1,621 |
$83K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,127 |
2,077 |
$36K |
| 90688 |
|
1,067 |
1,063 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
121 |
121 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
3,554 |
3,505 |
$7K |
| 90686 |
|
370 |
370 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
181 |
177 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,890 |
1,887 |
$3K |
| 90732 |
|
34 |
34 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
429 |
425 |
$2K |
| 96127 |
|
662 |
650 |
$2K |
| 99401 |
|
64 |
64 |
$2K |
| 82272 |
|
920 |
911 |
$1K |
| 3074F |
|
1,416 |
1,265 |
$1K |
| 99441 |
|
38 |
36 |
$1K |
| 3078F |
|
1,640 |
1,448 |
$1K |
| 93000 |
|
220 |
219 |
$1K |
| 93922 |
|
39 |
39 |
$909.50 |
| 96160 |
|
30 |
30 |
$750.00 |
| 90682 |
|
13 |
13 |
$709.32 |
| 82270 |
|
262 |
257 |
$587.60 |
| 3079F |
|
503 |
464 |
$412.50 |
| 3075F |
|
507 |
457 |
$305.00 |
| 99429 |
|
130 |
111 |
$300.00 |
| 99397 |
|
143 |
143 |
$280.96 |
| 94010 |
|
32 |
32 |
$268.74 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
135 |
127 |
$166.50 |
| 3044F |
|
153 |
134 |
$140.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
192 |
189 |
$117.06 |
| 99497 |
|
14 |
14 |
$97.24 |
| G0008 |
Administration of influenza virus vaccine |
161 |
161 |
$88.34 |
| G0009 |
Administration of pneumococcal vaccine |
61 |
61 |
$58.34 |
| 99406 |
|
13 |
13 |
$47.48 |
| 88142 |
|
26 |
24 |
$39.40 |
| 3008F |
|
5,191 |
4,519 |
$0.00 |
| 4000F |
|
26 |
26 |
$0.00 |
| 3014F |
|
506 |
503 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
182 |
153 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,211 |
1,945 |
$0.00 |
| 3017F |
|
2,023 |
1,996 |
$0.00 |
| 3048F |
|
267 |
236 |
$0.00 |
| 1036F |
|
1,526 |
1,516 |
$0.00 |
| 1000F |
|
1,361 |
1,356 |
$0.00 |
| 3061F |
|
278 |
244 |
$0.00 |
| 4037F |
|
119 |
119 |
$0.00 |
| 1125F |
|
34 |
34 |
$0.00 |
| 1170F |
|
44 |
43 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
66 |
64 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
42 |
42 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
13 |
13 |
$0.00 |
| 4010F |
|
17 |
17 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,581 |
1,572 |
$0.00 |
| 4040F |
|
76 |
75 |
$0.00 |
| 3725F |
|
1,483 |
1,482 |
$0.00 |
| 3016F |
|
1,123 |
1,122 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,896 |
1,621 |
$0.00 |
| 1159F |
|
174 |
163 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
72 |
71 |
$0.00 |
| 1160F |
|
178 |
167 |
$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) |
76 |
72 |
$0.00 |
| 3015F |
|
49 |
49 |
$0.00 |
| 2028F |
|
31 |
30 |
$0.00 |
| 99358 |
Prolong nursin fac eval 15m |
13 |
12 |
$0.00 |
| 2022F |
|
31 |
30 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
78 |
74 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
43 |
42 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |