| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,803 |
2,491 |
$109K |
| 99215 |
Prolong outpt/office vis |
58 |
55 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
53 |
$1K |
| 96156 |
|
339 |
297 |
$871.80 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
12 |
$654.08 |
| 93000 |
|
99 |
93 |
$615.69 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
701 |
589 |
$427.29 |
| 99497 |
|
59 |
55 |
$33.58 |
| 1170F |
|
130 |
113 |
$21.65 |
| 1055F |
|
357 |
337 |
$12.61 |
| 1036F |
|
274 |
241 |
$12.61 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
622 |
531 |
$0.00 |
| 3074F |
|
404 |
363 |
$0.00 |
| G8535 |
Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter related to one of the following reasons: (1) patient refuses to participate in the screening and has reasonable decisional capacity for self-protection, or (2) patient is in an urgent or emergent situation where time is of the essence and to delay treatment to perform the screening would jeopardize the patient's health status |
524 |
441 |
$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) |
57 |
44 |
$0.00 |
| 3072F |
|
141 |
108 |
$0.00 |
| 3044F |
|
329 |
288 |
$0.00 |
| 1101F |
|
46 |
46 |
$0.00 |
| 1126F |
|
71 |
66 |
$0.00 |
| 1125F |
|
24 |
23 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
204 |
165 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
51 |
46 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
278 |
244 |
$0.00 |
| 3017F |
|
42 |
33 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
33 |
28 |
$0.00 |
| 96150 |
|
177 |
135 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
19 |
16 |
$0.00 |
| 3014F |
|
37 |
27 |
$0.00 |
| 4037F |
|
31 |
24 |
$0.00 |
| 3078F |
|
338 |
284 |
$0.00 |
| 2022F |
|
142 |
109 |
$0.00 |
| 4004F |
|
214 |
190 |
$0.00 |
| 4019F |
|
507 |
443 |
$0.00 |
| 3725F |
|
639 |
546 |
$0.00 |
| 99080 |
|
71 |
61 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
20 |
18 |
$0.00 |
| 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) |
243 |
210 |
$0.00 |
| 1159F |
|
101 |
92 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
20 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
108 |
89 |
$0.00 |
| 1160F |
|
100 |
92 |
$0.00 |
| 1090F |
|
89 |
76 |
$0.00 |
| 3015F |
|
51 |
36 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
45 |
38 |
$0.00 |
| 3288F |
|
68 |
55 |
$0.00 |
| 3006F |
|
33 |
24 |
$0.00 |