| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,121 |
1,121 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,048 |
4,019 |
$30K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,761 |
1,757 |
$15K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,507 |
3,506 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
189 |
189 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
237 |
228 |
$2K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
513 |
513 |
$2K |
| 3078F |
|
2,033 |
2,026 |
$2K |
| 3074F |
|
1,984 |
1,977 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
41 |
$1K |
| 99397 |
|
28 |
28 |
$459.68 |
| 99401 |
|
433 |
433 |
$384.17 |
| 3077F |
|
94 |
94 |
$270.50 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
145 |
145 |
$210.50 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
173 |
172 |
$210.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,202 |
5,192 |
$184.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
1,020 |
1,019 |
$175.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,797 |
1,797 |
$113.86 |
| 3079F |
|
310 |
310 |
$105.00 |
| 99441 |
|
125 |
116 |
$100.00 |
| 1126F |
|
1,570 |
1,562 |
$78.00 |
| 3075F |
|
147 |
147 |
$70.00 |
| 3080F |
|
12 |
12 |
$45.00 |
| 36410 |
|
392 |
391 |
$39.06 |
| H0001 |
Alcohol and/or drug assessment |
4,213 |
4,210 |
$32.06 |
| 1125F |
|
533 |
531 |
$28.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22 |
16 |
$20.86 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
188 |
187 |
$20.00 |
| 1160F |
|
64 |
64 |
$5.00 |
| 1159F |
|
82 |
82 |
$5.00 |
| 1170F |
|
64 |
64 |
$5.00 |
| 3008F |
|
4,813 |
4,776 |
$0.17 |
| G8598 |
Aspirin or another antiplatelet therapy used |
584 |
583 |
$0.00 |
| 3725F |
|
2,954 |
2,949 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
14 |
14 |
$0.00 |
| 3016F |
|
3,682 |
3,678 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
858 |
856 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
678 |
677 |
$0.00 |
| 99499 |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,517 |
1,507 |
$0.00 |
| 1090F |
|
50 |
50 |
$0.00 |
| 3050F |
|
87 |
87 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
62 |
62 |
$0.00 |
| 99442 |
|
26 |
26 |
$0.00 |
| 2022F |
|
25 |
25 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
13 |
13 |
$0.00 |
| 3288F |
|
51 |
51 |
$0.00 |
| 1494F |
|
50 |
50 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
54 |
54 |
$0.00 |
| 99242 |
|
14 |
14 |
$0.00 |
| 2028F |
|
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
14 |
14 |
$0.00 |
| G8540 |
Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter |
14 |
14 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
4,628 |
4,621 |
$0.00 |
| 2010F |
|
3,842 |
3,829 |
$0.00 |
| 2000F |
|
3,313 |
3,305 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
752 |
750 |
$0.00 |
| 1000F |
|
2,405 |
2,403 |
$0.00 |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
1,546 |
1,545 |
$0.00 |
| 3048F |
|
340 |
340 |
$0.00 |
| 3292F |
|
1,033 |
1,032 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,145 |
1,143 |
$0.00 |
| 3017F |
|
371 |
371 |
$0.00 |
| 3061F |
|
152 |
151 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
12 |
12 |
$0.00 |
| 3049F |
|
81 |
81 |
$0.00 |
| 3044F |
|
70 |
70 |
$0.00 |
| 3014F |
|
41 |
41 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
25 |
25 |
$0.00 |