| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,052 |
7,500 |
$57K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,437 |
2,391 |
$38K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
2,811 |
2,783 |
$32K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,943 |
2,913 |
$31K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,499 |
1,455 |
$12K |
| 1111F |
|
6,462 |
6,037 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,120 |
1,113 |
$9K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,182 |
3,105 |
$6K |
| 99401 |
|
2,416 |
2,375 |
$6K |
| G9691 |
Patient had hospice services any time during the measurement period |
7,711 |
7,221 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
117 |
112 |
$5K |
| 90756 |
|
504 |
498 |
$3K |
| H0001 |
Alcohol and/or drug assessment |
3,537 |
3,482 |
$3K |
| 3078F |
|
2,593 |
2,448 |
$2K |
| 82947 |
|
707 |
679 |
$2K |
| 97802 |
|
3,960 |
3,769 |
$2K |
| 3074F |
|
2,185 |
2,063 |
$2K |
| 3077F |
|
1,191 |
1,151 |
$2K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,058 |
5,726 |
$2K |
| 99397 |
|
210 |
205 |
$2K |
| 90686 |
|
102 |
102 |
$1K |
| 99442 |
|
60 |
56 |
$1K |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
3,279 |
3,235 |
$1K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
598 |
579 |
$1K |
| 3075F |
|
1,278 |
1,235 |
$858.50 |
| 99386 |
|
12 |
12 |
$823.74 |
| 99443 |
|
38 |
37 |
$816.21 |
| 90674 |
|
150 |
150 |
$751.45 |
| 99605 |
|
187 |
185 |
$640.00 |
| 1126F |
|
3,483 |
3,264 |
$627.02 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
14 |
14 |
$600.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$582.05 |
| 3044F |
|
1,900 |
1,867 |
$456.01 |
| 1125F |
|
734 |
704 |
$434.00 |
| 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 |
3,849 |
3,666 |
$280.74 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
5,775 |
5,428 |
$240.00 |
| 93000 |
|
14 |
13 |
$201.75 |
| 3079F |
|
137 |
135 |
$170.50 |
| 1159F |
|
2,348 |
2,295 |
$160.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
6,272 |
5,906 |
$140.00 |
| 90658 |
|
19 |
18 |
$131.59 |
| 3049F |
|
432 |
425 |
$128.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
395 |
372 |
$100.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
5,008 |
4,784 |
$100.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
4,796 |
4,624 |
$100.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
3,447 |
3,382 |
$70.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
26 |
26 |
$50.05 |
| 3080F |
|
14 |
12 |
$50.00 |
| 3048F |
|
842 |
832 |
$50.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
1,519 |
1,466 |
$40.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
1,665 |
1,598 |
$40.00 |
| 3061F |
|
292 |
285 |
$40.00 |
| 1160F |
|
669 |
655 |
$30.00 |
| 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) |
15 |
15 |
$22.50 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
15 |
15 |
$22.50 |
| 3050F |
|
253 |
248 |
$10.00 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
100 |
99 |
$5.00 |
| 3008F |
|
6,259 |
5,873 |
$0.53 |
| 2022F |
|
1,823 |
1,814 |
$0.28 |
| 4010F |
|
1,833 |
1,739 |
$0.17 |
| 96379 |
|
113 |
112 |
$0.13 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
1,387 |
1,344 |
$0.00 |
| 4013F |
|
2,676 |
2,529 |
$0.00 |
| 1090F |
|
1,415 |
1,342 |
$0.00 |
| 1158F |
|
149 |
147 |
$0.00 |
| 4004F |
|
3,642 |
3,515 |
$0.00 |
| 3015F |
|
634 |
633 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,893 |
1,773 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
785 |
747 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
679 |
656 |
$0.00 |
| 3016F |
|
1,042 |
1,031 |
$0.00 |
| 4025F |
|
214 |
203 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
176 |
166 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
73 |
$0.00 |
| 3725F |
|
2,540 |
2,519 |
$0.00 |
| 3288F |
|
1,558 |
1,483 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
93 |
89 |
$0.00 |
| 4040F |
|
288 |
288 |
$0.00 |
| 90863 |
|
197 |
195 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
51 |
50 |
$0.00 |
| G0434 |
Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter |
26 |
25 |
$0.00 |
| 3014F |
|
913 |
905 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
3,728 |
3,588 |
$0.00 |
| G9910 |
Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period |
738 |
727 |
$0.00 |
| 2001F |
|
6,517 |
6,088 |
$0.00 |
| 1170F |
|
136 |
134 |
$0.00 |
| 2000F |
|
6,517 |
6,089 |
$0.00 |
| 3292F |
|
428 |
427 |
$0.00 |
| 1036F |
|
6,117 |
5,732 |
$0.00 |
| 1101F |
|
1,569 |
1,494 |
$0.00 |
| 2010F |
|
3,284 |
3,214 |
$0.00 |
| 1000F |
|
2,723 |
2,677 |
$0.00 |
| 3017F |
|
1,263 |
1,233 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,170 |
2,981 |
$0.00 |
| 4008F |
|
612 |
588 |
$0.00 |
| 4140F |
|
207 |
197 |
$0.00 |
| 1123F |
|
24 |
23 |
$0.00 |
| 3011F |
|
295 |
284 |
$0.00 |
| G9281 |
Screening performed and documentation that vaccination not indicated/patient refusal |
163 |
161 |
$0.00 |
| 4050F |
|
121 |
107 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
59 |
55 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
57 |
54 |
$0.00 |