| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,138 |
4,965 |
$76K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,343 |
4,005 |
$28K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
3,338 |
3,264 |
$28K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,198 |
1,196 |
$26K |
| 93000 |
|
2,249 |
2,240 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,015 |
1,990 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,096 |
1,085 |
$11K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,847 |
4,589 |
$10K |
| 99497 |
|
219 |
218 |
$6K |
| 90756 |
|
663 |
662 |
$4K |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
4,830 |
4,654 |
$4K |
| 99401 |
|
707 |
674 |
$4K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
232 |
230 |
$3K |
| 3074F |
|
3,139 |
3,035 |
$3K |
| 3078F |
|
2,425 |
2,340 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
125 |
124 |
$2K |
| 90688 |
|
161 |
161 |
$2K |
| 94010 |
|
84 |
82 |
$2K |
| 99442 |
|
160 |
158 |
$2K |
| 3079F |
|
2,009 |
1,960 |
$2K |
| 97802 |
|
1,802 |
1,764 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
6,213 |
5,870 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
4,470 |
4,313 |
$2K |
| 82947 |
|
960 |
949 |
$2K |
| 1126F |
|
3,365 |
3,275 |
$1K |
| 90750 |
|
13 |
13 |
$1K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
8,208 |
7,802 |
$1K |
| 0064A |
|
30 |
30 |
$970.82 |
| 0012A |
|
24 |
24 |
$922.77 |
| 3077F |
|
344 |
325 |
$745.85 |
| 3075F |
|
986 |
962 |
$665.40 |
| 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 |
1,248 |
1,218 |
$660.00 |
| 96127 |
|
2,975 |
2,932 |
$658.04 |
| 82948 |
|
1,654 |
1,570 |
$649.98 |
| 1125F |
|
1,373 |
1,316 |
$647.00 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
2,181 |
2,173 |
$613.23 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
59 |
56 |
$599.77 |
| 90674 |
|
50 |
49 |
$580.77 |
| 1160F |
|
6,356 |
6,031 |
$552.50 |
| 94760 |
|
8,016 |
7,679 |
$510.12 |
| 0011A |
|
12 |
12 |
$397.32 |
| A4927 |
Gloves, non-sterile, per 100 |
3,509 |
3,242 |
$250.60 |
| 0134A |
|
12 |
12 |
$248.95 |
| 90658 |
|
73 |
73 |
$229.70 |
| 3044F |
|
2,026 |
1,932 |
$224.66 |
| A4245 |
Alcohol wipes, per box |
3,592 |
3,357 |
$206.65 |
| 99397 |
|
62 |
62 |
$198.68 |
| 3080F |
|
111 |
105 |
$185.21 |
| 99385 |
|
15 |
15 |
$143.16 |
| 3050F |
|
298 |
285 |
$120.00 |
| 3048F |
|
933 |
896 |
$108.36 |
| 0513F |
|
279 |
265 |
$80.00 |
| 82270 |
|
121 |
121 |
$67.38 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
18 |
17 |
$67.16 |
| 97803 |
|
31 |
31 |
$64.24 |
| 3061F |
|
214 |
202 |
$60.05 |
| 1170F |
|
40 |
40 |
$35.00 |
| 3049F |
|
218 |
211 |
$28.12 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
33 |
33 |
$7.50 |
| 82272 |
|
31 |
30 |
$7.26 |
| 99422 |
|
28 |
27 |
$6.57 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
27 |
27 |
$1.00 |
| 3008F |
|
5,376 |
5,151 |
$0.85 |
| 0521F |
|
481 |
456 |
$0.26 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
31 |
31 |
$0.25 |
| 4010F |
|
1,274 |
1,225 |
$0.20 |
| 91306 |
|
26 |
26 |
$0.08 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
4,668 |
4,557 |
$0.07 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
4,493 |
4,403 |
$0.06 |
| 1158F |
|
508 |
504 |
$0.00 |
| 3725F |
|
3,857 |
3,686 |
$0.00 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
4,984 |
4,422 |
$0.00 |
| G9150 |
National committee for quality assurance - level 3 medical home |
7,657 |
7,319 |
$0.00 |
| 3016F |
|
3,106 |
2,998 |
$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) |
1,850 |
1,789 |
$0.00 |
| G8935 |
Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
1,244 |
1,211 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
639 |
605 |
$0.00 |
| 4013F |
|
1,678 |
1,610 |
$0.00 |
| A4259 |
Lancets, per box of 100 |
3,271 |
3,212 |
$0.00 |
| 3028F |
|
5,563 |
5,322 |
$0.00 |
| 4274F |
|
375 |
375 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
824 |
790 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
3,177 |
2,995 |
$0.00 |
| 1026F |
|
1,055 |
1,033 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
402 |
402 |
$0.00 |
| 0556F |
|
822 |
799 |
$0.00 |
| G9383 |
Patient received screening for hcv infection within the 12 month reporting period |
652 |
646 |
$0.00 |
| 4019F |
|
224 |
217 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,010 |
1,938 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
607 |
604 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
391 |
383 |
$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) |
86 |
86 |
$0.00 |
| G9676 |
Patients aged 40 to 75 years at the beginning of the measurement period with type 1 or type 2 diabetes and with an ldl-c result of 70-189 mg/dl recorded as the highest fasting or direct laboratory test result in the measurement year or during the two years prior to the beginning of the measurement period |
20 |
20 |
$0.00 |
| 4145F |
|
260 |
248 |
$0.00 |
| 4003F |
|
28 |
28 |
$0.00 |
| G9448 |
Patients who were born in the years 1945 to 1965 |
14 |
14 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
174 |
167 |
$0.00 |
| 4004F |
|
39 |
39 |
$0.00 |
| 96160 |
|
27 |
27 |
$0.00 |
| 3288F |
|
13 |
13 |
$0.00 |
| 1175F |
|
13 |
13 |
$0.00 |
| 2001F |
|
2,872 |
2,829 |
$0.00 |
| 4037F |
|
156 |
156 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,629 |
2,556 |
$0.00 |
| 1000F |
|
2,322 |
2,236 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
284 |
284 |
$0.00 |
| 1036F |
|
3,547 |
3,412 |
$0.00 |
| 3017F |
|
69 |
66 |
$0.00 |
| 1220F |
|
1,437 |
1,407 |
$0.00 |
| 3754F |
|
310 |
292 |
$0.00 |
| 4450F |
|
3,319 |
3,224 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
881 |
850 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
988 |
960 |
$0.00 |
| 99000 |
|
4,224 |
3,780 |
$0.00 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
666 |
660 |
$0.00 |
| G0432 |
Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening |
683 |
675 |
$0.00 |
| 4293F |
|
1,999 |
1,896 |
$0.00 |
| G2197 |
Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user |
332 |
330 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
2,222 |
2,132 |
$0.00 |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
339 |
339 |
$0.00 |
| 4144F |
|
114 |
108 |
$0.00 |
| 91301 |
|
69 |
68 |
$0.00 |
| 3011F |
|
2,408 |
2,279 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
93 |
87 |
$0.00 |
| 1123F |
|
50 |
50 |
$0.00 |
| 4017F |
|
139 |
135 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
224 |
218 |
$0.00 |
| 1006F |
|
170 |
165 |
$0.00 |
| 4086F |
|
526 |
505 |
$0.00 |
| 2000F |
|
601 |
571 |
$0.00 |
| 1157F |
|
442 |
438 |
$0.00 |
| 4140F |
|
125 |
119 |
$0.00 |
| 4016F |
|
176 |
169 |
$0.00 |
| 4008F |
|
307 |
297 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
24 |
24 |
$0.00 |
| 4050F |
|
274 |
259 |
$0.00 |
| 1101F |
|
13 |
13 |
$0.00 |
| 99386 |
|
13 |
13 |
$0.00 |
| 2010F |
|
27 |
25 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
13 |
12 |
$0.00 |
| 1034F |
|
36 |
36 |
$0.00 |
| 3066F |
|
46 |
43 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
42 |
42 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
13 |
13 |
$0.00 |