| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,269 |
16,007 |
$723K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,952 |
5,156 |
$248K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
601 |
601 |
$69K |
| 99490 |
Ccm add 20min |
3,949 |
3,947 |
$66K |
| 93000 |
|
4,715 |
4,679 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,104 |
995 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,837 |
1,787 |
$21K |
| 90674 |
|
1,184 |
1,181 |
$12K |
| 0012A |
|
264 |
264 |
$10K |
| 99439 |
|
560 |
559 |
$8K |
| 99397 |
|
2,136 |
2,135 |
$7K |
| 0011A |
|
208 |
208 |
$7K |
| 90756 |
|
677 |
675 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,310 |
1,307 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
9,029 |
8,902 |
$4K |
| H0001 |
Alcohol and/or drug assessment |
141 |
141 |
$3K |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
888 |
882 |
$3K |
| 99401 |
|
633 |
592 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
680 |
673 |
$2K |
| 99442 |
|
34 |
34 |
$2K |
| 99491 |
Ccm add 20min |
74 |
74 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
280 |
270 |
$2K |
| 96127 |
|
284 |
280 |
$2K |
| 99406 |
|
261 |
257 |
$1K |
| 3078F |
|
5,854 |
5,145 |
$916.20 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,549 |
1,495 |
$871.60 |
| 3074F |
|
3,446 |
3,111 |
$864.20 |
| 93922 |
|
110 |
94 |
$784.78 |
| 99497 |
|
58 |
57 |
$676.45 |
| 99051 |
|
1,231 |
1,110 |
$676.03 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,027 |
1,838 |
$652.60 |
| 90732 |
|
49 |
49 |
$583.76 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,407 |
1,296 |
$476.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
104 |
54 |
$436.93 |
| 90715 |
|
20 |
20 |
$416.06 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
374 |
372 |
$401.35 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
679 |
659 |
$384.60 |
| 3077F |
|
2,469 |
2,236 |
$360.00 |
| 3079F |
|
2,146 |
2,015 |
$359.00 |
| 77085 |
|
34 |
34 |
$344.14 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
40 |
40 |
$269.92 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
580 |
578 |
$260.07 |
| 90686 |
|
48 |
47 |
$234.11 |
| 3075F |
|
2,256 |
2,126 |
$201.00 |
| 0064A |
|
90 |
90 |
$159.22 |
| 90653 |
|
72 |
72 |
$157.15 |
| 90694 |
|
656 |
655 |
$130.15 |
| 90750 |
|
444 |
440 |
$101.90 |
| 3051F |
|
252 |
245 |
$71.10 |
| 3050F |
|
583 |
583 |
$63.00 |
| 0134A |
|
155 |
155 |
$56.72 |
| 3048F |
|
2,356 |
2,351 |
$55.70 |
| 3049F |
|
1,354 |
1,349 |
$54.00 |
| 82947 |
|
162 |
151 |
$49.35 |
| G0008 |
Administration of influenza virus vaccine |
1,902 |
1,897 |
$47.30 |
| 1159F |
|
1,598 |
1,558 |
$35.70 |
| 1160F |
|
1,526 |
1,487 |
$35.10 |
| 3080F |
|
81 |
79 |
$35.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
398 |
393 |
$32.00 |
| G8482 |
Influenza immunization administered or previously received |
523 |
521 |
$29.86 |
| G9275 |
Documentation that patient is a current non-tobacco user |
60 |
60 |
$18.10 |
| 81003 |
|
28 |
25 |
$11.20 |
| 3044F |
|
993 |
981 |
$9.00 |
| 94760 |
|
14 |
13 |
$6.51 |
| 99071 |
|
517 |
511 |
$4.50 |
| 3008F |
|
5,111 |
4,867 |
$0.35 |
| 3045F |
|
239 |
239 |
$0.02 |
| J0897 |
Injection, denosumab, 1 mg |
37 |
37 |
$0.01 |
| 97803 |
|
1,186 |
1,179 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
84 |
84 |
$0.00 |
| 3288F |
|
16 |
16 |
$0.00 |
| 4013F |
|
31 |
31 |
$0.00 |
| 3725F |
|
652 |
646 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
189 |
175 |
$0.00 |
| 3016F |
|
65 |
64 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
35 |
35 |
$0.00 |
| 99072 |
|
493 |
437 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$0.00 |
| 4040F |
|
19 |
19 |
$0.00 |
| 1036F |
|
449 |
445 |
$0.00 |
| 2000F |
|
8,806 |
7,625 |
$0.00 |
| 1126F |
|
107 |
107 |
$0.00 |
| 92227 |
|
15 |
15 |
$0.00 |
| 99429 |
|
516 |
382 |
$0.00 |
| 1000F |
|
406 |
399 |
$0.00 |
| 3017F |
|
563 |
557 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
13 |
13 |
$0.00 |
| 3061F |
|
121 |
121 |
$0.00 |
| 1170F |
|
198 |
198 |
$0.00 |
| 4037F |
|
592 |
590 |
$0.00 |
| 3014F |
|
85 |
85 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
51 |
51 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
14 |
12 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
17 |
17 |
$0.00 |