| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,132 |
12,383 |
$604K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,639 |
3,589 |
$318K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,413 |
2,401 |
$138K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,039 |
2,033 |
$131K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,215 |
3,803 |
$109K |
| S9470 |
Nutritional counseling, dietitian visit |
1,712 |
1,506 |
$64K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,711 |
1,592 |
$49K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
390 |
386 |
$43K |
| 99401 |
|
1,912 |
1,710 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
301 |
300 |
$36K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,193 |
2,115 |
$29K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
2,645 |
2,346 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,717 |
1,677 |
$25K |
| H0001 |
Alcohol and/or drug assessment |
1,842 |
1,753 |
$20K |
| 90688 |
|
943 |
938 |
$17K |
| 36410 |
|
1,438 |
1,407 |
$12K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,151 |
1,036 |
$10K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,063 |
1,959 |
$9K |
| 90658 |
|
500 |
497 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
81 |
78 |
$6K |
| 93000 |
|
420 |
407 |
$6K |
| 3078F |
|
2,722 |
2,405 |
$4K |
| 3074F |
|
2,530 |
2,221 |
$4K |
| 99408 |
|
4,719 |
4,658 |
$4K |
| 90656 |
|
134 |
134 |
$2K |
| 99397 |
|
26 |
26 |
$2K |
| 99000 |
|
2,200 |
2,115 |
$2K |
| 99406 |
|
157 |
150 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,696 |
1,637 |
$878.78 |
| 87110 |
|
67 |
66 |
$655.10 |
| 96127 |
|
1,575 |
1,529 |
$651.70 |
| 87270 |
|
66 |
65 |
$385.35 |
| 99051 |
|
192 |
183 |
$377.87 |
| 82565 |
|
143 |
142 |
$288.04 |
| 3075F |
|
180 |
169 |
$233.50 |
| 1159F |
|
3,271 |
3,047 |
$86.26 |
| 81005 |
|
17 |
16 |
$29.34 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
1,367 |
1,245 |
$24.70 |
| 3008F |
|
16,423 |
13,401 |
$13.41 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
9,037 |
7,451 |
$3.11 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
262 |
249 |
$3.10 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,140 |
5,023 |
$2.03 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,008 |
981 |
$2.03 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
261 |
248 |
$1.48 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
9,778 |
8,092 |
$0.03 |
| 3725F |
|
3,383 |
3,321 |
$0.03 |
| 1000F |
|
1,906 |
1,834 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
114 |
113 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
2,283 |
2,196 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,137 |
1,874 |
$0.00 |
| 4037F |
|
617 |
613 |
$0.00 |
| 3048F |
|
244 |
236 |
$0.00 |
| 3292F |
|
1,645 |
1,529 |
$0.00 |
| 1036F |
|
1,820 |
1,756 |
$0.00 |
| 87320 |
|
21 |
20 |
$0.00 |
| 3061F |
|
334 |
325 |
$0.00 |
| 3044F |
|
15 |
13 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
999 |
921 |
$0.00 |
| 4010F |
|
138 |
129 |
$0.00 |
| 4000F |
|
13 |
12 |
$0.00 |
| 1170F |
|
83 |
82 |
$0.00 |
| 3014F |
|
13 |
13 |
$0.00 |
| 1125F |
|
31 |
31 |
$0.00 |
| 3079F |
|
17 |
16 |
$0.00 |
| 3016F |
|
573 |
549 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
679 |
631 |
$0.00 |
| G9383 |
Patient received screening for hcv infection within the 12 month reporting period |
1,561 |
1,468 |
$0.00 |
| 82274 |
|
255 |
242 |
$0.00 |
| 4013F |
|
382 |
367 |
$0.00 |
| 3015F |
|
124 |
113 |
$0.00 |
| 1160F |
|
55 |
55 |
$0.00 |
| 90863 |
|
28 |
27 |
$0.00 |
| 1032F |
|
34 |
32 |
$0.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
52 |
49 |
$0.00 |
| 99497 |
|
114 |
111 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
34 |
32 |
$0.00 |
| 0521F |
|
12 |
12 |
$0.00 |
| 3288F |
|
30 |
29 |
$0.00 |
| 99499 |
|
31 |
23 |
$0.00 |
| 3045F |
|
15 |
14 |
$0.00 |