| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,019 |
4,204 |
$219K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,454 |
3,673 |
$143K |
| 93000 |
|
1,192 |
987 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,672 |
1,475 |
$8K |
| 99490 |
Ccm add 20min |
1,522 |
1,480 |
$7K |
| 82947 |
|
3,128 |
2,616 |
$6K |
| 81003 |
|
3,060 |
2,633 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
40 |
$4K |
| 77080 |
|
94 |
78 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$221.35 |
| 99497 |
|
1,099 |
912 |
$210.00 |
| 81025 |
|
17 |
13 |
$119.60 |
| 90686 |
|
17 |
17 |
$57.84 |
| 90688 |
|
15 |
12 |
$57.44 |
| 3078F |
|
676 |
568 |
$50.49 |
| 3075F |
|
289 |
261 |
$50.37 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
562 |
498 |
$33.00 |
| 3074F |
|
742 |
601 |
$25.74 |
| 3014F |
|
132 |
126 |
$15.00 |
| 4010F |
|
512 |
454 |
$15.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,063 |
3,357 |
$3.39 |
| 3008F |
|
3,902 |
3,092 |
$2.19 |
| 3079F |
|
901 |
775 |
$0.86 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,704 |
1,518 |
$0.73 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,431 |
1,272 |
$0.71 |
| 3077F |
|
723 |
595 |
$0.47 |
| 3080F |
|
356 |
312 |
$0.44 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
1,117 |
968 |
$0.39 |
| 3048F |
|
212 |
199 |
$0.35 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
892 |
820 |
$0.33 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
1,013 |
880 |
$0.28 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,870 |
1,575 |
$0.20 |
| 1036F |
|
2,018 |
1,793 |
$0.17 |
| 1126F |
|
854 |
768 |
$0.16 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
428 |
378 |
$0.14 |
| 3050F |
|
44 |
39 |
$0.09 |
| 4145F |
|
475 |
365 |
$0.09 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
104 |
95 |
$0.06 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
248 |
205 |
$0.05 |
| 1160F |
|
3,444 |
2,770 |
$0.03 |
| 1159F |
|
3,706 |
2,969 |
$0.03 |
| 2022F |
|
63 |
55 |
$0.03 |
| 4013F |
|
86 |
69 |
$0.02 |
| 3044F |
|
115 |
105 |
$0.02 |
| 3049F |
|
38 |
33 |
$0.02 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
99 |
91 |
$0.01 |
| 4086F |
|
893 |
752 |
$0.01 |
| 3017F |
|
971 |
849 |
$0.01 |
| 1034F |
|
57 |
45 |
$0.01 |
| 3072F |
|
16 |
16 |
$0.01 |
| 4008F |
|
35 |
28 |
$0.01 |
| 1033F |
|
62 |
47 |
$0.00 |
| 1158F |
|
64 |
61 |
$0.00 |
| 4274F |
|
18 |
16 |
$0.00 |
| 3725F |
|
110 |
108 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
28 |
27 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
25 |
24 |
$0.00 |
| 4025F |
|
13 |
12 |
$0.00 |
| 99499 |
|
24 |
17 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
552 |
479 |
$0.00 |
| 1170F |
|
96 |
93 |
$0.00 |
| 1101F |
|
868 |
790 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
384 |
345 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
108 |
94 |
$0.00 |
| 1125F |
|
118 |
113 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |
| 4037F |
|
35 |
32 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
33 |
32 |
$0.00 |