| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,565 |
1,508 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,291 |
3,000 |
$39K |
| 93000 |
|
2,142 |
2,135 |
$16K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,322 |
4,116 |
$15K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,100 |
3,911 |
$12K |
| 99401 |
|
2,511 |
2,378 |
$10K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,750 |
1,674 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
582 |
581 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
464 |
461 |
$4K |
| 99497 |
|
77 |
75 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
32 |
$2K |
| 99443 |
|
284 |
284 |
$2K |
| 99498 |
|
57 |
56 |
$1K |
| 90756 |
|
45 |
45 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
25 |
25 |
$1K |
| 90674 |
|
41 |
41 |
$971.60 |
| 99442 |
|
148 |
146 |
$934.07 |
| 96160 |
|
3,934 |
3,755 |
$794.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
133 |
133 |
$776.65 |
| 90658 |
|
22 |
22 |
$366.44 |
| H0001 |
Alcohol and/or drug assessment |
3,453 |
3,401 |
$160.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,864 |
3,665 |
$119.99 |
| 99441 |
|
13 |
12 |
$110.64 |
| 99385 |
|
12 |
12 |
$93.87 |
| 82270 |
|
94 |
89 |
$40.80 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,728 |
1,653 |
$30.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
112 |
111 |
$29.05 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$14.43 |
| 81528 |
Oncology (colorectal) screening, quantitative real-time target and signal amplification |
149 |
138 |
$11.25 |
| 3725F |
|
78 |
74 |
$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) |
366 |
361 |
$0.00 |
| 3016F |
|
30 |
29 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
817 |
811 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
262 |
261 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
3,440 |
3,388 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,281 |
3,175 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
84 |
79 |
$0.00 |
| 99080 |
|
2,207 |
164 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
24 |
24 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
101 |
99 |
$0.00 |
| S0613 |
Annual gynecological examination; clinical breast examination without pelvic evaluation |
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,169 |
2,081 |
$0.00 |
| 3008F |
|
87 |
85 |
$0.00 |
| G8473 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed |
206 |
205 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
894 |
885 |
$0.00 |
| G0432 |
Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening |
184 |
183 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
297 |
293 |
$0.00 |
| 2001F |
|
83 |
81 |
$0.00 |
| 91301 |
|
28 |
28 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
71 |
70 |
$0.00 |
| 2010F |
|
53 |
53 |
$0.00 |
| 1036F |
|
14 |
14 |
$0.00 |
| 99429 |
|
46 |
46 |
$0.00 |
| 1000F |
|
14 |
14 |
$0.00 |
| G0102 |
Prostate cancer screening; digital rectal examination |
12 |
12 |
$0.00 |