| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,277 |
5,090 |
$34K |
| 93000 |
|
1,949 |
1,938 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,211 |
1,209 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
359 |
353 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
332 |
330 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,374 |
2,363 |
$1K |
| 99443 |
|
121 |
118 |
$1K |
| H0001 |
Alcohol and/or drug assessment |
2,417 |
2,402 |
$1K |
| 3074F |
|
857 |
839 |
$930.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
74 |
$725.15 |
| 3078F |
|
412 |
399 |
$635.07 |
| 90674 |
|
39 |
36 |
$323.99 |
| 3079F |
|
243 |
239 |
$255.02 |
| 90658 |
|
29 |
29 |
$80.34 |
| 1126F |
|
586 |
586 |
$45.03 |
| 1125F |
|
361 |
357 |
$40.01 |
| 1170F |
|
70 |
70 |
$20.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,302 |
2,284 |
$1.73 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,807 |
1,793 |
$1.35 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,449 |
2,412 |
$0.07 |
| 3008F |
|
2,020 |
1,994 |
$0.03 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.01 |
| S0341 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stage |
1,913 |
1,910 |
$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) |
389 |
389 |
$0.00 |
| 3725F |
|
1,791 |
1,776 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,419 |
1,383 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,215 |
1,213 |
$0.00 |
| 1159F |
|
211 |
203 |
$0.00 |
| 1090F |
|
886 |
886 |
$0.00 |
| 3050F |
|
25 |
25 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
174 |
168 |
$0.00 |
| G9666 |
Patient's highest fasting or direct ldl-c laboratory test result in the measurement period or two years prior to the beginning of the measurement period is 70-189 mg/dl |
183 |
182 |
$0.00 |
| 3288F |
|
39 |
39 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
38 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
126 |
122 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
308 |
307 |
$0.00 |
| 1494F |
|
41 |
41 |
$0.00 |
| 0518F |
|
15 |
15 |
$0.00 |
| 2028F |
|
12 |
12 |
$0.00 |
| 2010F |
|
542 |
520 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
385 |
385 |
$0.00 |
| 1000F |
|
1,420 |
1,417 |
$0.00 |
| 1036F |
|
1,903 |
1,882 |
$0.00 |
| 3017F |
|
243 |
243 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,444 |
1,407 |
$0.00 |
| 3048F |
|
233 |
232 |
$0.00 |
| 3049F |
|
146 |
146 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
269 |
268 |
$0.00 |
| 3014F |
|
199 |
199 |
$0.00 |
| 3341F |
|
53 |
53 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
578 |
546 |
$0.00 |