| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,626 |
2,436 |
$8K |
| 93000 |
|
287 |
284 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
73 |
$765.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
28 |
$646.15 |
| 3074F |
|
248 |
238 |
$432.50 |
| 90686 |
|
33 |
33 |
$338.10 |
| 3078F |
|
171 |
166 |
$295.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,479 |
1,466 |
$236.49 |
| 3079F |
|
89 |
85 |
$162.50 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
677 |
595 |
$0.00 |
| 90658 |
|
55 |
55 |
$0.00 |
| 3050F |
|
15 |
13 |
$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) |
134 |
125 |
$0.00 |
| 3725F |
|
34 |
34 |
$0.00 |
| 3008F |
|
3,060 |
2,771 |
$0.00 |
| 1000F |
|
101 |
96 |
$0.00 |
| 1125F |
|
45 |
44 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
652 |
597 |
$0.00 |
| 1036F |
|
13 |
13 |
$0.00 |