| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,081 |
17,062 |
$1.43M |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,410 |
1,409 |
$138K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,245 |
1,242 |
$109K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,229 |
2,169 |
$100K |
| 92552 |
|
2,049 |
2,034 |
$52K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,773 |
2,713 |
$41K |
| 90674 |
|
1,564 |
1,558 |
$40K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,481 |
1,458 |
$29K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,074 |
2,067 |
$22K |
| H0001 |
Alcohol and/or drug assessment |
1,062 |
1,057 |
$20K |
| 99401 |
|
686 |
683 |
$17K |
| 99051 |
|
2,170 |
2,034 |
$12K |
| 99442 |
|
167 |
162 |
$11K |
| 36410 |
|
1,165 |
1,143 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
133 |
125 |
$11K |
| 90686 |
|
435 |
435 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
90 |
87 |
$8K |
| 99408 |
|
833 |
828 |
$7K |
| 90656 |
|
258 |
258 |
$5K |
| 3074F |
|
4,683 |
4,117 |
$5K |
| 3078F |
|
4,667 |
4,105 |
$4K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
297 |
293 |
$4K |
| 93000 |
|
283 |
282 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,849 |
2,839 |
$4K |
| 99000 |
|
5,299 |
5,189 |
$3K |
| 92100 |
|
47 |
46 |
$3K |
| H0049 |
Alcohol and/or drug screening |
104 |
102 |
$2K |
| 90756 |
|
119 |
119 |
$2K |
| 90746 |
|
37 |
37 |
$2K |
| 95923 |
|
16 |
16 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,963 |
3,924 |
$1K |
| 93922 |
|
16 |
16 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
57 |
53 |
$1K |
| 99443 |
|
34 |
34 |
$1K |
| 3075F |
|
773 |
695 |
$935.00 |
| 3079F |
|
984 |
903 |
$822.50 |
| 92250 |
|
17 |
17 |
$631.89 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
24 |
24 |
$522.72 |
| G2024 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source |
91 |
91 |
$498.96 |
| 82947 |
|
147 |
134 |
$455.22 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$402.50 |
| 92551 |
|
34 |
34 |
$357.34 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
27 |
$288.98 |
| 90688 |
|
13 |
13 |
$172.98 |
| 82948 |
|
41 |
39 |
$153.05 |
| 3077F |
|
75 |
72 |
$112.50 |
| S9452 |
Nutrition classes, non-physician provider, per session |
33 |
33 |
$70.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
511 |
502 |
$64.00 |
| 81001 |
|
12 |
12 |
$42.48 |
| 1160F |
|
765 |
753 |
$5.00 |
| 1159F |
|
521 |
513 |
$5.00 |
| 3008F |
|
11,845 |
10,101 |
$0.18 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
8,288 |
7,128 |
$0.00 |
| 3725F |
|
2,652 |
2,644 |
$0.00 |
| 3016F |
|
1,120 |
1,116 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,401 |
1,394 |
$0.00 |
| G9383 |
Patient received screening for hcv infection within the 12 month reporting period |
99 |
99 |
$0.00 |
| 4013F |
|
355 |
351 |
$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) |
87 |
87 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
349 |
300 |
$0.00 |
| 3015F |
|
280 |
274 |
$0.00 |
| 2028F |
|
173 |
172 |
$0.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
14 |
14 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
12 |
12 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
8,607 |
7,367 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,852 |
1,825 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,521 |
3,011 |
$0.00 |
| 3048F |
|
73 |
73 |
$0.00 |
| 1000F |
|
1,760 |
1,734 |
$0.00 |
| 4037F |
|
1,953 |
1,947 |
$0.00 |
| 4010F |
|
180 |
178 |
$0.00 |
| 1036F |
|
1,503 |
1,484 |
$0.00 |
| 4086F |
|
12 |
12 |
$0.00 |
| 3061F |
|
90 |
90 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
34 |
34 |
$0.00 |
| 3292F |
|
151 |
145 |
$0.00 |
| 3017F |
|
178 |
165 |
$0.00 |
| G8474 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy not prescribed for reasons documented by the clinician (e.g., allergy, intolerance, pregnancy, renal failure due to ace inhibitor, diseases of the aortic or mitral valve, other medical reasons) or (e.g., patient declined, other patient reasons) |
12 |
12 |
$0.00 |
| G8473 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed |
31 |
31 |
$0.00 |
| 3120F |
|
195 |
195 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| S0612 |
Annual gynecological examination, established patient |
12 |
12 |
$0.00 |
| 2023F |
|
24 |
24 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |