| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,041 |
9,014 |
$667K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
487 |
487 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
304 |
304 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
537 |
519 |
$23K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,131 |
1,054 |
$22K |
| 99051 |
|
3,605 |
3,167 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,025 |
1,008 |
$15K |
| H0049 |
Alcohol and/or drug screening |
519 |
512 |
$12K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,058 |
1,043 |
$12K |
| 92552 |
|
472 |
463 |
$12K |
| 90674 |
|
459 |
459 |
$11K |
| 99401 |
|
332 |
330 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
107 |
104 |
$9K |
| H0001 |
Alcohol and/or drug assessment |
333 |
333 |
$7K |
| 97802 |
|
217 |
209 |
$6K |
| 99408 |
|
304 |
303 |
$5K |
| 99442 |
|
51 |
51 |
$4K |
| 90686 |
|
170 |
169 |
$4K |
| 99000 |
|
2,075 |
2,029 |
$3K |
| 90656 |
|
106 |
104 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,915 |
1,902 |
$2K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
99 |
97 |
$2K |
| 95923 |
|
14 |
14 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,145 |
1,142 |
$1K |
| 90756 |
|
77 |
77 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
63 |
63 |
$1K |
| 82947 |
|
319 |
301 |
$1K |
| 3074F |
|
1,711 |
1,575 |
$1K |
| 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 |
46 |
46 |
$1K |
| 99406 |
|
84 |
83 |
$953.39 |
| 93922 |
|
13 |
13 |
$936.52 |
| 3078F |
|
1,318 |
1,237 |
$918.01 |
| 92551 |
|
87 |
80 |
$735.09 |
| 90688 |
|
36 |
36 |
$526.26 |
| 82274 |
|
26 |
26 |
$446.42 |
| 82565 |
|
49 |
49 |
$265.92 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
445 |
442 |
$231.00 |
| 36410 |
|
15 |
15 |
$216.75 |
| 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 |
24 |
24 |
$213.84 |
| S9470 |
Nutritional counseling, dietitian visit |
46 |
46 |
$195.50 |
| 82948 |
|
75 |
73 |
$195.18 |
| 3079F |
|
187 |
178 |
$110.00 |
| 3075F |
|
58 |
56 |
$100.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,592 |
2,390 |
$92.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
199 |
195 |
$90.50 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,981 |
2,741 |
$38.50 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
708 |
663 |
$24.50 |
| G9275 |
Documentation that patient is a current non-tobacco user |
572 |
570 |
$17.50 |
| 3008F |
|
4,603 |
4,211 |
$0.16 |
| 3292F |
|
118 |
117 |
$0.00 |
| 1036F |
|
514 |
513 |
$0.00 |
| 3044F |
|
32 |
32 |
$0.00 |
| 4293F |
|
16 |
16 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
915 |
838 |
$0.00 |
| 4010F |
|
35 |
34 |
$0.00 |
| 4037F |
|
668 |
665 |
$0.00 |
| 1000F |
|
721 |
716 |
$0.00 |
| 3061F |
|
13 |
13 |
$0.00 |
| 4086F |
|
13 |
13 |
$0.00 |
| 1220F |
|
13 |
13 |
$0.00 |
| 3017F |
|
50 |
50 |
$0.00 |
| 3048F |
|
28 |
28 |
$0.00 |
| 2023F |
|
12 |
12 |
$0.00 |
| 1160F |
|
419 |
414 |
$0.00 |
| 4013F |
|
121 |
121 |
$0.00 |
| 4004F |
|
90 |
89 |
$0.00 |
| 1159F |
|
182 |
182 |
$0.00 |
| 3725F |
|
629 |
628 |
$0.00 |
| 3016F |
|
516 |
512 |
$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) |
28 |
28 |
$0.00 |
| 2028F |
|
61 |
61 |
$0.00 |