| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
401 |
354 |
$22K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
29 |
27 |
$524.32 |
| 36415 |
Collection of venous blood by venipuncture |
64 |
64 |
$210.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
395 |
342 |
$171.60 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
24 |
24 |
$126.56 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
305 |
257 |
$63.83 |
| H0001 |
Alcohol and/or drug assessment |
228 |
195 |
$1.59 |
| 3513F |
|
34 |
26 |
$0.34 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
33 |
26 |
$0.33 |
| 3008F |
|
419 |
353 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
168 |
143 |
$0.00 |
| 1036F |
|
200 |
161 |
$0.00 |
| 2010F |
|
40 |
28 |
$0.00 |
| 1000F |
|
206 |
165 |
$0.00 |
| 1126F |
|
146 |
119 |
$0.00 |
| 3074F |
|
238 |
205 |
$0.00 |
| 3011F |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
27 |
25 |
$0.00 |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
33 |
27 |
$0.00 |
| 3512F |
|
34 |
26 |
$0.00 |
| 3514F |
|
19 |
14 |
$0.00 |
| 1160F |
|
397 |
299 |
$0.00 |
| 1159F |
|
340 |
287 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
148 |
128 |
$0.00 |
| 3016F |
|
212 |
179 |
$0.00 |
| 3078F |
|
246 |
212 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
212 |
182 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
167 |
137 |
$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) |
172 |
150 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
96 |
79 |
$0.00 |
| 3725F |
|
131 |
110 |
$0.00 |
| G9150 |
National committee for quality assurance - level 3 medical home |
72 |
56 |
$0.00 |
| 0556F |
|
12 |
12 |
$0.00 |
| 0521F |
|
14 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
13 |
$0.00 |