| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,048 |
1,034 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
441 |
428 |
$26K |
| 99442 |
|
116 |
114 |
$4K |
| 99443 |
|
105 |
103 |
$4K |
| H0049 |
Alcohol and/or drug screening |
241 |
227 |
$109.00 |
| 0521F |
|
57 |
54 |
$0.00 |
| 3016F |
|
187 |
177 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
245 |
229 |
$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) |
163 |
153 |
$0.00 |
| 3725F |
|
83 |
81 |
$0.00 |
| 3078F |
|
25 |
25 |
$0.00 |
| 1000F |
|
194 |
184 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
142 |
136 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
143 |
133 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
88 |
85 |
$0.00 |
| 3008F |
|
175 |
161 |
$0.00 |
| 1036F |
|
100 |
97 |
$0.00 |
| 4010F |
|
70 |
69 |
$0.00 |
| G8450 |
Beta-blocker therapy prescribed |
27 |
26 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12 |
12 |
$0.00 |