| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,920 |
3,704 |
$193K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,963 |
1,886 |
$113K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
74 |
74 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
181 |
72 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
50 |
50 |
$5K |
| 90682 |
|
83 |
82 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
99 |
90 |
$3K |
| 99442 |
|
258 |
248 |
$3K |
| 94010 |
|
57 |
56 |
$789.73 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
33 |
29 |
$600.33 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$565.38 |
| 96127 |
|
198 |
195 |
$500.92 |
| 99406 |
|
92 |
90 |
$411.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$194.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
44 |
44 |
$142.77 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
13 |
$56.26 |
| 3008F |
|
2,155 |
2,042 |
$0.14 |
| 1159F |
|
2,352 |
2,252 |
$0.08 |
| 1160F |
|
2,337 |
2,240 |
$0.08 |
| 2000F |
|
1,669 |
1,607 |
$0.05 |
| 3079F |
|
776 |
762 |
$0.03 |
| 3074F |
|
1,231 |
1,176 |
$0.02 |
| 3075F |
|
670 |
652 |
$0.01 |
| 3016F |
|
133 |
130 |
$0.01 |
| 3078F |
|
1,117 |
1,066 |
$0.01 |
| 3077F |
|
488 |
468 |
$0.01 |
| 4008F |
|
183 |
171 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
377 |
368 |
$0.00 |
| 3044F |
|
718 |
702 |
$0.00 |
| 3080F |
|
388 |
365 |
$0.00 |
| 1000F |
|
178 |
171 |
$0.00 |
| 1036F |
|
475 |
457 |
$0.00 |
| 4010F |
|
279 |
267 |
$0.00 |
| 1101F |
|
19 |
18 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
334 |
324 |
$0.00 |
| G9935 |
Adenoma(s) or colorectal cancer not detected during screening colonoscopy |
236 |
228 |
$0.00 |
| 1034F |
|
56 |
54 |
$0.00 |
| 1111F |
|
661 |
645 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 3011F |
|
254 |
249 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,292 |
1,229 |
$0.00 |
| 3017F |
|
343 |
325 |
$0.00 |
| G2204 |
Patients between 45 and 85 years of age who received a screening colonoscopy during the performance period |
33 |
29 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
102 |
97 |
$0.00 |
| 4086F |
|
12 |
12 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
16 |
16 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
93 |
86 |
$0.00 |
| G8473 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed |
102 |
101 |
$0.00 |
| 4140F |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
187 |
181 |
$0.00 |
| G9612 |
Photodocumentation of two or more cecal landmarks to establish a complete examination |
23 |
21 |
$0.00 |
| G8450 |
Beta-blocker therapy prescribed |
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
24 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
148 |
139 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
76 |
74 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
15 |
13 |
$0.00 |
| M1069 |
Patient screened for future fall risk |
12 |
12 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
16 |
12 |
$0.00 |
| G9189 |
Beta-blocker therapy prescribed or currently being taken |
14 |
13 |
$0.00 |
| G9002 |
Coordinated care fee, maintenance rate |
196 |
191 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
25 |
24 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
201 |
195 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
965 |
918 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
349 |
329 |
$0.00 |
| 4025F |
|
214 |
202 |
$0.00 |
| 0517F |
|
86 |
74 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
185 |
173 |
$0.00 |
| 4040F |
|
125 |
122 |
$0.00 |
| 3725F |
|
859 |
813 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,022 |
980 |
$0.00 |
| G8864 |
Pneumococcal vaccine administered or previously received |
75 |
71 |
$0.00 |
| 4004F |
|
14 |
13 |
$0.00 |
| 3015F |
|
255 |
239 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
67 |
65 |
$0.00 |
| 2022F |
|
43 |
42 |
$0.00 |
| 3023F |
|
184 |
170 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
43 |
43 |
$0.00 |
| 4274F |
|
69 |
68 |
$0.00 |
| 2026F |
|
12 |
12 |
$0.00 |