| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,030 |
6,478 |
$100K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,099 |
1,842 |
$40K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,885 |
1,875 |
$25K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,254 |
1,249 |
$19K |
| 93000 |
|
2,512 |
2,504 |
$9K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
917 |
698 |
$8K |
| 99402 |
|
1,943 |
1,933 |
$7K |
| 3074F |
|
4,858 |
3,967 |
$7K |
| 94060 |
|
515 |
510 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
396 |
396 |
$6K |
| 3079F |
|
3,377 |
2,930 |
$6K |
| 99173 |
|
1,722 |
1,714 |
$5K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
8,163 |
6,311 |
$5K |
| 3078F |
|
4,265 |
3,545 |
$5K |
| 94010 |
|
508 |
507 |
$5K |
| 3075F |
|
2,401 |
2,123 |
$4K |
| 99408 |
|
1,725 |
1,718 |
$4K |
| 90686 |
|
208 |
206 |
$3K |
| 1126F |
|
4,684 |
3,812 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
166 |
166 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
176 |
176 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
554 |
544 |
$2K |
| 1125F |
|
2,600 |
2,310 |
$2K |
| 90674 |
|
207 |
207 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,009 |
2,959 |
$2K |
| 99385 |
|
96 |
96 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,121 |
2,058 |
$2K |
| 3077F |
|
475 |
420 |
$1K |
| 99441 |
|
158 |
135 |
$1K |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,355 |
2,297 |
$1K |
| 99386 |
|
66 |
66 |
$897.92 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
1,958 |
1,945 |
$735.50 |
| H0001 |
Alcohol and/or drug assessment |
1,950 |
1,875 |
$724.82 |
| 99407 |
|
44 |
44 |
$555.82 |
| 1159F |
|
7,280 |
5,630 |
$516.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
7,649 |
5,967 |
$481.00 |
| 1160F |
|
7,288 |
5,632 |
$466.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
7,276 |
5,718 |
$452.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
20 |
20 |
$353.04 |
| G9275 |
Documentation that patient is a current non-tobacco user |
2,653 |
2,473 |
$349.00 |
| 3048F |
|
286 |
281 |
$260.00 |
| 90756 |
|
22 |
22 |
$237.58 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20 |
13 |
$207.30 |
| 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) |
2,114 |
1,697 |
$178.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
1,664 |
1,274 |
$160.00 |
| 82270 |
|
87 |
87 |
$142.68 |
| 3049F |
|
117 |
116 |
$120.00 |
| 3044F |
|
980 |
971 |
$110.00 |
| 99406 |
|
13 |
13 |
$101.52 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
2,288 |
1,905 |
$63.00 |
| 3050F |
|
33 |
33 |
$60.00 |
| 3080F |
|
21 |
20 |
$48.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
12 |
$46.80 |
| 97803 |
|
35 |
33 |
$32.25 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,374 |
4,224 |
$30.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
1,442 |
1,295 |
$27.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
2,845 |
2,317 |
$18.00 |
| 96127 |
|
21 |
20 |
$13.70 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,102 |
848 |
$9.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
716 |
547 |
$9.00 |
| 3008F |
|
7,998 |
6,281 |
$2.08 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
59 |
59 |
$0.02 |
| 2022F |
|
12 |
12 |
$0.01 |
| 1000F |
|
3,145 |
2,914 |
$0.00 |
| 1036F |
|
2,620 |
2,439 |
$0.00 |
| 2010F |
|
8,247 |
6,382 |
$0.00 |
| 4000F |
|
565 |
557 |
$0.00 |
| 99000 |
|
1,301 |
1,296 |
$0.00 |
| 99429 |
|
154 |
118 |
$0.00 |
| 90656 |
|
39 |
39 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
90 |
84 |
$0.00 |
| G9667 |
Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy (e.g., patient with adverse effect, allergy or intolerance to statin medication therapy, patients who have an active diagnosis of pregnancy or who are breastfeeding, patients who are receiving palliative care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease (esrd), and patients with diabetes who have a fasting or direct ldl-c laboratory test result < 70 mg/dl and are not taking statin therapy) |
13 |
13 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
424 |
375 |
$0.00 |
| 1494F |
|
1,172 |
1,169 |
$0.00 |
| 1090F |
|
1,176 |
1,173 |
$0.00 |
| 3725F |
|
2,526 |
2,454 |
$0.00 |
| 2028F |
|
3,623 |
2,835 |
$0.00 |
| 99072 |
|
1,115 |
895 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
181 |
163 |
$0.00 |
| 3016F |
|
2,454 |
2,384 |
$0.00 |
| 4001F |
|
494 |
492 |
$0.00 |
| 4004F |
|
62 |
62 |
$0.00 |
| 1032F |
|
135 |
122 |
$0.00 |
| 0518F |
|
453 |
452 |
$0.00 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
53 |
45 |
$0.00 |