| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,405 |
1,338 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
191 |
187 |
$13K |
| 99442 |
|
102 |
100 |
$2K |
| 99443 |
|
47 |
46 |
$2K |
| 99441 |
|
81 |
81 |
$1K |
| H0049 |
Alcohol and/or drug screening |
232 |
223 |
$203.27 |
| H0001 |
Alcohol and/or drug assessment |
98 |
94 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
80 |
78 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
144 |
140 |
$0.00 |
| 1000F |
|
195 |
185 |
$0.00 |
| 1036F |
|
63 |
62 |
$0.00 |
| 3008F |
|
134 |
103 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 3016F |
|
216 |
208 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
217 |
210 |
$0.00 |
| 99080 |
|
1,428 |
108 |
$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) |
42 |
39 |
$0.00 |
| 3725F |
|
140 |
139 |
$0.00 |
| 0521F |
|
41 |
39 |
$0.00 |