| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
28,376 |
8,579 |
$3.40M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,366 |
12,157 |
$1.26M |
| 99215 |
Prolong outpt/office vis |
4,551 |
3,918 |
$601K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,144 |
5,647 |
$512K |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,326 |
2,436 |
$502K |
| H0038 |
Self-help/peer services, per 15 minutes |
3,004 |
1,486 |
$313K |
| H0031 |
Mental health assessment, by non-physician |
1,373 |
719 |
$228K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,818 |
1,392 |
$221K |
| 99442 |
|
1,223 |
1,136 |
$125K |
| G0175 |
Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present |
391 |
376 |
$106K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
690 |
688 |
$100K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,919 |
1,819 |
$99K |
| 90889 |
|
1,689 |
1,174 |
$75K |
| 90837 |
Psychotherapy, 53 minutes with patient |
653 |
477 |
$67K |
| 80305 |
|
4,100 |
3,936 |
$52K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
529 |
340 |
$48K |
| 99205 |
Prolong outpt/office vis |
244 |
244 |
$48K |
| 96127 |
|
5,521 |
5,037 |
$45K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,755 |
3,247 |
$43K |
| 90791 |
Psychiatric diagnostic evaluation |
301 |
300 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
724 |
677 |
$33K |
| 90838 |
|
348 |
327 |
$31K |
| H2010 |
Comprehensive medication services, per 15 minutes |
369 |
305 |
$19K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
155 |
91 |
$10K |
| 90836 |
|
139 |
136 |
$10K |
| 99449 |
|
120 |
113 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
47 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,065 |
968 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
318 |
293 |
$5K |
| 99443 |
|
36 |
30 |
$5K |
| 99422 |
|
74 |
73 |
$5K |
| 99490 |
Ccm add 20min |
110 |
88 |
$4K |
| 90785 |
|
371 |
344 |
$4K |
| 99072 |
|
273 |
215 |
$4K |
| G0176 |
Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
32 |
25 |
$3K |
| 99404 |
|
76 |
58 |
$2K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
77 |
40 |
$2K |
| 99448 |
|
55 |
55 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
86 |
77 |
$2K |
| 99441 |
|
25 |
25 |
$2K |
| 96130 |
|
12 |
12 |
$1K |
| 99402 |
|
38 |
33 |
$1K |
| 81000 |
|
242 |
226 |
$1K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
42 |
24 |
$930.99 |
| 90887 |
|
438 |
338 |
$711.45 |
| 90885 |
|
720 |
539 |
$650.73 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
27 |
$463.74 |
| 82947 |
|
99 |
84 |
$410.64 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$223.69 |
| 90863 |
|
68 |
59 |
$128.91 |
| G8421 |
Bmi not documented and no reason is given |
1,340 |
1,162 |
$4.89 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
8,780 |
7,955 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
2,257 |
1,923 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
11,201 |
9,704 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
8,745 |
7,450 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,663 |
3,166 |
$0.00 |
| 1036F |
|
8,580 |
7,204 |
$0.00 |
| G8535 |
Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter related to one of the following reasons: (1) patient refuses to participate in the screening and has reasonable decisional capacity for self-protection, or (2) patient is in an urgent or emergent situation where time is of the essence and to delay treatment to perform the screening would jeopardize the patient's health status |
69 |
55 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
3,160 |
2,653 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
4,915 |
4,098 |
$0.00 |
| 1101F |
|
111 |
109 |
$0.00 |
| 3044F |
|
5,149 |
4,825 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
1,071 |
911 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
584 |
530 |
$0.00 |
| G9908 |
Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
32 |
24 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
31 |
26 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
93 |
79 |
$0.00 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
317 |
304 |
$0.00 |
| M1212 |
Glycemic status assessment (hba1c or gmi) level is missing, or was not performed during the measurement period |
147 |
128 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
46 |
46 |
$0.00 |
| 90875 |
|
79 |
49 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
168 |
157 |
$0.00 |
| G8536 |
No documentation of an elder maltreatment screen, reason not given |
36 |
31 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
20,368 |
17,081 |
$0.00 |
| G0030 |
Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user |
1,163 |
1,045 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
12,160 |
10,481 |
$0.00 |
| 3046F |
|
2,997 |
2,589 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
9,004 |
7,431 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
5,857 |
5,134 |
$0.00 |
| 4004F |
|
1,060 |
841 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
429 |
367 |
$0.00 |
| 98968 |
|
33 |
33 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
245 |
207 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
25 |
25 |
$0.00 |
| 1090F |
|
18 |
18 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
12 |
12 |
$0.00 |