| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,036 |
3,261 |
$188K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,348 |
2,704 |
$108K |
| 99199 |
Unlisted special service, procedure or report |
12,687 |
9,532 |
$65K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,779 |
2,402 |
$13K |
| 82962 |
|
2,130 |
1,786 |
$3K |
| 95251 |
|
153 |
129 |
$2K |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
28 |
24 |
$296.71 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
27 |
26 |
$94.11 |
| 82947 |
|
13 |
13 |
$8.07 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
483 |
408 |
$0.00 |
| 2022F |
|
982 |
840 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,536 |
2,151 |
$0.00 |
| 3077F |
|
236 |
196 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
271 |
235 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
517 |
463 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
768 |
675 |
$0.00 |
| G8541 |
Functional outcome assessment using a standardized tool not documented, reason not given |
1,405 |
1,261 |
$0.00 |
| G8442 |
Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter |
486 |
449 |
$0.00 |
| 3078F |
|
423 |
342 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
230 |
206 |
$0.00 |
| 1090F |
|
150 |
134 |
$0.00 |
| 4040F |
|
179 |
164 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
128 |
113 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
115 |
90 |
$0.00 |
| 3051F |
|
26 |
24 |
$0.00 |
| G8509 |
Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given |
72 |
68 |
$0.00 |
| G8536 |
No documentation of an elder maltreatment screen, reason not given |
479 |
422 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
284 |
227 |
$0.00 |
| 3079F |
|
246 |
209 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
1,649 |
1,424 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
739 |
655 |
$0.00 |
| 3017F |
|
1,305 |
1,082 |
$0.00 |
| 1036F |
|
1,212 |
1,088 |
$0.00 |
| 1123F |
|
147 |
136 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
545 |
483 |
$0.00 |
| 3075F |
|
45 |
42 |
$0.00 |
| 3074F |
|
396 |
323 |
$0.00 |
| 1101F |
|
392 |
357 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
13 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
419 |
389 |
$0.00 |
| 1125F |
|
15 |
13 |
$0.00 |
| 3080F |
|
27 |
25 |
$0.00 |
| 3044F |
|
67 |
54 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
13 |
13 |
$0.00 |