| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,228 |
2,087 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
615 |
574 |
$30K |
| 0012A |
|
26 |
26 |
$977.28 |
| 0011A |
|
25 |
25 |
$963.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
54 |
$666.79 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$631.62 |
| 90674 |
|
24 |
24 |
$597.11 |
| 0064A |
|
23 |
23 |
$480.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,369 |
1,265 |
$17.55 |
| 3016F |
|
194 |
181 |
$16.72 |
| H0001 |
Alcohol and/or drug assessment |
786 |
739 |
$1.84 |
| 91306 |
|
23 |
23 |
$0.02 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,242 |
1,162 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
515 |
476 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,336 |
1,239 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
573 |
526 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
638 |
597 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
183 |
173 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
545 |
507 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
111 |
103 |
$0.00 |
| 3725F |
|
279 |
258 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
182 |
171 |
$0.00 |
| 4004F |
|
27 |
25 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
24 |
24 |
$0.00 |
| G8942 |
Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment |
69 |
66 |
$0.00 |
| 99080 |
|
729 |
26 |
$0.00 |
| 1036F |
|
624 |
573 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,370 |
1,278 |
$0.00 |
| 3008F |
|
823 |
757 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
318 |
294 |
$0.00 |
| 1000F |
|
785 |
723 |
$0.00 |
| 91301 |
|
42 |
42 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
12 |
12 |
$0.00 |