| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,506 |
6,329 |
$67K |
| 93000 |
|
4,096 |
4,084 |
$52K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,427 |
3,421 |
$34K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
4,922 |
4,913 |
$28K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
338 |
315 |
$23K |
| H0001 |
Alcohol and/or drug assessment |
13,990 |
13,395 |
$9K |
| 3074F |
|
8,083 |
7,729 |
$8K |
| 3078F |
|
8,191 |
7,823 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
926 |
924 |
$8K |
| 99441 |
|
2,278 |
2,174 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,347 |
1,318 |
$7K |
| 90658 |
|
760 |
759 |
$5K |
| 99442 |
|
1,267 |
1,243 |
$3K |
| 0012A |
|
82 |
82 |
$3K |
| 0011A |
|
83 |
83 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
10,380 |
10,221 |
$2K |
| 90688 |
|
116 |
116 |
$2K |
| 1159F |
|
6,499 |
5,704 |
$1K |
| 1160F |
|
6,532 |
5,736 |
$1K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
181 |
181 |
$1K |
| 1126F |
|
5,653 |
5,436 |
$1K |
| 1170F |
|
3,051 |
2,965 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,959 |
1,854 |
$976.14 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
98 |
98 |
$799.67 |
| 82948 |
|
3,624 |
3,383 |
$786.31 |
| 99397 |
|
113 |
113 |
$770.19 |
| 99406 |
|
127 |
121 |
$656.44 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
11,364 |
10,905 |
$616.73 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$254.64 |
| 3079F |
|
497 |
486 |
$180.00 |
| 99386 |
|
32 |
32 |
$117.11 |
| 1125F |
|
696 |
696 |
$115.00 |
| 3077F |
|
47 |
47 |
$87.50 |
| 99496 |
|
26 |
26 |
$65.86 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
6,233 |
5,983 |
$9.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
12,299 |
11,773 |
$8.38 |
| 3075F |
|
473 |
469 |
$7.50 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
4,619 |
4,199 |
$2.16 |
| 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) |
4,525 |
4,102 |
$1.66 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,830 |
5,196 |
$0.35 |
| 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) |
5,066 |
5,056 |
$0.28 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
251 |
232 |
$0.21 |
| 3008F |
|
9,007 |
8,613 |
$0.17 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
34 |
31 |
$0.16 |
| 4010F |
|
2,601 |
2,361 |
$0.13 |
| 3044F |
|
2,255 |
2,155 |
$0.12 |
| 3061F |
|
1,065 |
1,026 |
$0.12 |
| 2022F |
|
496 |
468 |
$0.08 |
| 3048F |
|
1,054 |
1,002 |
$0.06 |
| 3050F |
|
641 |
600 |
$0.03 |
| G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk |
698 |
626 |
$0.02 |
| 3049F |
|
945 |
897 |
$0.02 |
| 3725F |
|
8,954 |
8,571 |
$0.00 |
| 3016F |
|
8,935 |
8,554 |
$0.00 |
| 4013F |
|
2,846 |
2,591 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
1,100 |
1,005 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,132 |
3,975 |
$0.00 |
| 2028F |
|
1,117 |
1,068 |
$0.00 |
| 0518F |
|
2,512 |
2,417 |
$0.00 |
| 3288F |
|
2,502 |
2,408 |
$0.00 |
| 1090F |
|
92 |
92 |
$0.00 |
| 1158F |
|
163 |
163 |
$0.00 |
| 3015F |
|
233 |
216 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
15 |
14 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
88 |
79 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
85 |
81 |
$0.00 |
| 1494F |
|
92 |
92 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
72 |
65 |
$0.00 |
| 3051F |
|
14 |
13 |
$0.00 |
| 2000F |
|
528 |
501 |
$0.00 |
| 1157F |
|
2,933 |
2,930 |
$0.00 |
| 1000F |
|
8,930 |
8,549 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
12,368 |
11,827 |
$0.00 |
| 3014F |
|
1,027 |
962 |
$0.00 |
| 2010F |
|
8,487 |
8,103 |
$0.00 |
| 3017F |
|
1,022 |
933 |
$0.00 |
| 4293F |
|
8,945 |
8,562 |
$0.00 |
| 1101F |
|
357 |
349 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
1,348 |
1,246 |
$0.00 |
| 0001F |
|
517 |
490 |
$0.00 |
| G0202 |
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed |
260 |
236 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
180 |
180 |
$0.00 |
| 1111F |
|
13 |
13 |
$0.00 |
| 91301 |
|
172 |
168 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
184 |
168 |
$0.00 |
| 2023F |
|
35 |
32 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 1005F |
|
80 |
74 |
$0.00 |
| 1034F |
|
14 |
13 |
$0.00 |