| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,976 |
5,767 |
$238K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,126 |
990 |
$50K |
| 87428 |
|
1,574 |
1,371 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
185 |
160 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
677 |
548 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
700 |
642 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
256 |
225 |
$4K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
545 |
479 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
27 |
$3K |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
186 |
161 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$310.80 |
| 1036F |
|
3,569 |
3,031 |
$39.63 |
| 81003 |
|
16 |
14 |
$23.09 |
| 3017F |
|
1,953 |
1,603 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,642 |
4,681 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,918 |
1,688 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
750 |
664 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
134 |
102 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,164 |
1,850 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
82 |
80 |
$0.00 |
| 3014F |
|
88 |
69 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
476 |
430 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
57 |
52 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
25 |
20 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
32 |
28 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
14 |
14 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,547 |
2,153 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
99 |
91 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
3,758 |
3,170 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
1,594 |
1,365 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
742 |
658 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
152 |
135 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,565 |
3,695 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
2,423 |
2,019 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
359 |
316 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
520 |
442 |
$0.00 |
| 4004F |
|
59 |
54 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
65 |
55 |
$0.00 |
| G8541 |
Functional outcome assessment using a standardized tool not documented, reason not given |
36 |
30 |
$0.00 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
32 |
30 |
$0.00 |