| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,858 |
2,734 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
736 |
730 |
$29K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,372 |
1,367 |
$14K |
| 99385 |
|
320 |
320 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
489 |
489 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
238 |
238 |
$4K |
| 93000 |
|
547 |
546 |
$995.99 |
| 99386 |
|
101 |
101 |
$590.37 |
| 36415 |
Collection of venous blood by venipuncture |
2,237 |
2,222 |
$261.88 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
355 |
355 |
$198.51 |
| 99497 |
|
27 |
26 |
$179.14 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
167 |
167 |
$140.00 |
| 80061 |
Lipid panel |
255 |
255 |
$132.45 |
| 3074F |
|
2,116 |
2,043 |
$110.00 |
| 99397 |
|
62 |
62 |
$105.07 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$90.46 |
| 3078F |
|
1,190 |
1,144 |
$60.00 |
| 81002 |
|
674 |
674 |
$57.44 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$48.17 |
| 3079F |
|
1,297 |
1,273 |
$40.00 |
| 87270 |
|
216 |
216 |
$12.16 |
| 84132 |
|
439 |
439 |
$10.71 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
439 |
439 |
$10.00 |
| 82565 |
|
442 |
442 |
$7.62 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
358 |
358 |
$6.19 |
| H0001 |
Alcohol and/or drug assessment |
225 |
223 |
$4.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
219 |
219 |
$2.40 |
| 3511F |
|
313 |
313 |
$0.00 |
| 1160F |
|
730 |
721 |
$0.00 |
| 3725F |
|
1,067 |
1,063 |
$0.00 |
| 1159F |
|
744 |
735 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
463 |
452 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,012 |
968 |
$0.00 |
| 0521F |
|
1,413 |
1,371 |
$0.00 |
| 4013F |
|
59 |
59 |
$0.00 |
| 3077F |
|
73 |
69 |
$0.00 |
| 99401 |
|
515 |
515 |
$0.00 |
| 3015F |
|
19 |
19 |
$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) |
16 |
16 |
$0.00 |
| 1158F |
|
14 |
13 |
$0.00 |
| 1000F |
|
682 |
681 |
$0.00 |
| G8473 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed |
229 |
224 |
$0.00 |
| 3351F |
|
102 |
101 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,119 |
1,078 |
$0.00 |
| 3008F |
|
2,468 |
2,365 |
$0.00 |
| 1125F |
|
1,166 |
1,132 |
$0.00 |
| 3075F |
|
195 |
192 |
$0.00 |
| 82270 |
|
81 |
81 |
$0.00 |
| 1123F |
|
13 |
12 |
$0.00 |
| 1126F |
|
137 |
136 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
62 |
62 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
69 |
66 |
$0.00 |
| 4010F |
|
226 |
222 |
$0.00 |
| 3014F |
|
12 |
12 |
$0.00 |
| 3017F |
|
59 |
59 |
$0.00 |
| 1170F |
|
13 |
12 |
$0.00 |