| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,647 |
3,817 |
$310K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,964 |
1,722 |
$87K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,665 |
1,424 |
$52K |
| 99490 |
Ccm add 20min |
3,267 |
3,247 |
$41K |
| 99215 |
Prolong outpt/office vis |
477 |
445 |
$36K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,568 |
1,370 |
$33K |
| 99497 |
|
629 |
612 |
$16K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
286 |
225 |
$5K |
| 99483 |
Prolong outpt/office vis |
46 |
46 |
$4K |
| 99441 |
|
151 |
137 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
254 |
235 |
$3K |
| 97535 |
Self-care/home management training, each 15 minutes |
221 |
218 |
$2K |
| 99442 |
|
71 |
66 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$2K |
| 99402 |
|
132 |
129 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
887 |
834 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
203 |
182 |
$1K |
| 99407 |
|
124 |
113 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
154 |
145 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
39 |
39 |
$984.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
61 |
$697.81 |
| 99307 |
|
109 |
77 |
$525.09 |
| 90686 |
|
29 |
28 |
$516.89 |
| 99058 |
|
195 |
174 |
$184.98 |
| 93000 |
|
14 |
13 |
$140.24 |
| 3074F |
|
228 |
196 |
$50.00 |
| 96127 |
|
50 |
48 |
$45.10 |
| 81002 |
|
12 |
12 |
$25.71 |
| 99000 |
|
284 |
259 |
$8.91 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
747 |
684 |
$0.80 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,311 |
3,836 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
160 |
148 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
332 |
234 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
913 |
758 |
$0.00 |
| G9991 |
Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
53 |
44 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
711 |
630 |
$0.00 |
| 0518F |
|
454 |
326 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
765 |
589 |
$0.00 |
| G9916 |
Functional status performed once in the last 12 months |
161 |
127 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,456 |
1,206 |
$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) |
45 |
43 |
$0.00 |
| 3078F |
|
93 |
84 |
$0.00 |
| 3015F |
|
13 |
13 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
63 |
48 |
$0.00 |
| 1006F |
|
414 |
351 |
$0.00 |
| 1036F |
|
450 |
375 |
$0.00 |
| 1123F |
|
712 |
568 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
337 |
296 |
$0.00 |
| 1125F |
|
332 |
260 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,621 |
1,330 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
251 |
220 |
$0.00 |
| 3079F |
|
172 |
149 |
$0.00 |
| 1126F |
|
327 |
276 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
409 |
284 |
$0.00 |
| 1170F |
|
142 |
135 |
$0.00 |
| 3017F |
|
116 |
108 |
$0.00 |
| 3075F |
|
25 |
24 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
15 |
14 |
$0.00 |
| 3014F |
|
12 |
12 |
$0.00 |