| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99335 |
|
11,742 |
9,574 |
$280K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,367 |
5,367 |
$194K |
| 99348 |
|
3,226 |
2,772 |
$133K |
| 99349 |
|
2,548 |
2,196 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,416 |
922 |
$25K |
| 99336 |
|
497 |
424 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
616 |
383 |
$19K |
| 99215 |
Prolong outpt/office vis |
747 |
327 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
200 |
121 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
3,514 |
2,040 |
$5K |
| 99401 |
|
910 |
420 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
174 |
113 |
$3K |
| 93000 |
|
260 |
199 |
$1K |
| 99334 |
|
86 |
82 |
$817.54 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
423 |
329 |
$97.09 |
| 99497 |
|
1,457 |
728 |
$25.35 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
623 |
519 |
$3.36 |
| 96160 |
|
1,769 |
810 |
$1.11 |
| 3080F |
|
270 |
193 |
$0.00 |
| 1111F |
|
89 |
51 |
$0.00 |
| 3074F |
|
4,925 |
3,233 |
$0.00 |
| 1036F |
|
7,819 |
3,714 |
$0.00 |
| 3079F |
|
1,918 |
1,104 |
$0.00 |
| 3075F |
|
990 |
590 |
$0.00 |
| 3008F |
|
13,013 |
6,624 |
$0.00 |
| 3014F |
|
16 |
12 |
$0.00 |
| 3044F |
|
26 |
25 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,664 |
1,401 |
$0.00 |
| 99000 |
|
1,626 |
901 |
$0.00 |
| 2010F |
|
1,534 |
991 |
$0.00 |
| 1170F |
|
4,224 |
1,753 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,009 |
1,803 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
98 |
84 |
$0.00 |
| 3017F |
|
204 |
133 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
236 |
197 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
186 |
156 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
144 |
135 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
26 |
26 |
$0.00 |
| 1126F |
|
148 |
114 |
$0.00 |
| 1125F |
|
254 |
95 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
82 |
60 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
18 |
16 |
$0.00 |
| 1157F |
|
33 |
31 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
23 |
14 |
$0.00 |
| 3725F |
|
199 |
146 |
$0.00 |
| 99499 |
|
361 |
298 |
$0.00 |
| 3077F |
|
587 |
289 |
$0.00 |
| 1160F |
|
6,487 |
2,276 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
7,006 |
5,310 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,716 |
1,561 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
4,221 |
3,251 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
698 |
437 |
$0.00 |
| 1100F |
|
20 |
13 |
$0.00 |
| 1159F |
|
6,492 |
2,279 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
10,220 |
7,840 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
295 |
276 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
3,507 |
2,944 |
$0.00 |
| 3078F |
|
4,187 |
2,695 |
$0.00 |
| 0518F |
|
239 |
200 |
$0.00 |
| 1033F |
|
926 |
348 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
159 |
117 |
$0.00 |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
47 |
28 |
$0.00 |
| 3288F |
|
46 |
42 |
$0.00 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
48 |
29 |
$0.00 |
| 3016F |
|
70 |
58 |
$0.00 |
| 1158F |
|
30 |
28 |
$0.00 |
| 0521F |
|
27 |
25 |
$0.00 |