| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,978 |
14,304 |
$893K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,962 |
1,962 |
$250K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,148 |
3,892 |
$174K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,864 |
2,756 |
$158K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,937 |
1,897 |
$31K |
| 93000 |
|
2,580 |
2,553 |
$26K |
| 90756 |
|
945 |
943 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
188 |
188 |
$22K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,685 |
1,683 |
$19K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,644 |
1,644 |
$14K |
| H0049 |
Alcohol and/or drug screening |
970 |
970 |
$10K |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
382 |
382 |
$6K |
| 99441 |
|
324 |
316 |
$5K |
| 90688 |
|
258 |
258 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
4,942 |
4,897 |
$4K |
| 82274 |
|
260 |
259 |
$3K |
| H0001 |
Alcohol and/or drug assessment |
552 |
552 |
$2K |
| 96127 |
|
407 |
404 |
$2K |
| 90674 |
|
54 |
53 |
$1K |
| 90662 |
|
423 |
422 |
$988.39 |
| 99397 |
|
394 |
392 |
$292.80 |
| 90686 |
|
16 |
16 |
$281.39 |
| 99051 |
|
379 |
355 |
$212.56 |
| S9470 |
Nutritional counseling, dietitian visit |
310 |
310 |
$205.00 |
| G0008 |
Administration of influenza virus vaccine |
472 |
471 |
$195.43 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
286 |
285 |
$145.12 |
| 86580 |
|
16 |
14 |
$116.52 |
| 99497 |
|
15 |
15 |
$27.26 |
| 3078F |
|
1,806 |
1,641 |
$7.50 |
| 3077F |
|
553 |
523 |
$7.50 |
| 3079F |
|
876 |
823 |
$5.00 |
| 3074F |
|
1,306 |
1,203 |
$5.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,395 |
1,395 |
$2.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,574 |
1,574 |
$2.00 |
| 3008F |
|
1,771 |
1,608 |
$0.00 |
| 3075F |
|
984 |
931 |
$0.00 |
| 1000F |
|
692 |
692 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
549 |
511 |
$0.00 |
| 99429 |
|
136 |
115 |
$0.00 |
| 1036F |
|
553 |
553 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,132 |
1,035 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
270 |
246 |
$0.00 |
| 2000F |
|
538 |
508 |
$0.00 |
| 1170F |
|
98 |
98 |
$0.00 |
| 4010F |
|
14 |
13 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
213 |
209 |
$0.00 |
| 4037F |
|
287 |
286 |
$0.00 |
| 3048F |
|
56 |
56 |
$0.00 |
| 3044F |
|
131 |
131 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
15 |
14 |
$0.00 |
| M1207 |
Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
33 |
33 |
$0.00 |
| 3080F |
|
32 |
30 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
17 |
17 |
$0.00 |
| 1125F |
|
74 |
74 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
665 |
642 |
$0.00 |
| 3016F |
|
673 |
673 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
93 |
89 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
32 |
31 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
938 |
872 |
$0.00 |
| 3725F |
|
755 |
755 |
$0.00 |
| 1160F |
|
964 |
925 |
$0.00 |
| 1159F |
|
2,200 |
1,881 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
29 |
29 |
$0.00 |
| 90679 |
|
42 |
42 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
13 |
13 |
$0.00 |
| 1158F |
|
49 |
48 |
$0.00 |
| 4013F |
|
31 |
29 |
$0.00 |