| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99091 |
|
2,671 |
2,299 |
$356K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,871 |
8,654 |
$294K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,516 |
3,353 |
$148K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
681 |
633 |
$44K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,000 |
924 |
$43K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
345 |
334 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
261 |
258 |
$19K |
| 90674 |
|
840 |
695 |
$15K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,034 |
1,561 |
$14K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
561 |
526 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
956 |
814 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
661 |
588 |
$7K |
| 99423 |
|
122 |
56 |
$7K |
| 3044F |
|
528 |
486 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
327 |
325 |
$3K |
| 99318 |
|
63 |
59 |
$3K |
| 90661 |
|
113 |
110 |
$3K |
| 87428 |
|
29 |
26 |
$2K |
| 99050 |
|
127 |
123 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
271 |
247 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 99490 |
Ccm add 20min |
578 |
576 |
$1K |
| 90732 |
|
20 |
12 |
$968.40 |
| 3046F |
|
52 |
42 |
$280.00 |
| 3051F |
|
14 |
14 |
$220.00 |
| 93000 |
|
12 |
12 |
$127.42 |
| 81003 |
|
86 |
77 |
$124.96 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
17 |
$101.92 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
7,220 |
6,596 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,443 |
2,251 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
95 |
93 |
$0.00 |
| 3049F |
|
528 |
508 |
$0.00 |
| 1111F |
|
388 |
370 |
$0.00 |
| 3017F |
|
863 |
802 |
$0.00 |
| 3074F |
|
118 |
116 |
$0.00 |
| 3048F |
|
899 |
863 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
2,852 |
2,632 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
44 |
41 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
3,543 |
3,204 |
$0.00 |
| 3075F |
|
118 |
114 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
689 |
634 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
90 |
86 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
77 |
74 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
269 |
250 |
$0.00 |
| 3079F |
|
74 |
73 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
49 |
47 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,878 |
1,707 |
$0.00 |
| G0029 |
Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period |
1,285 |
1,197 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,379 |
3,057 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
1,314 |
1,209 |
$0.00 |
| 1159F |
|
359 |
342 |
$0.00 |
| 1160F |
|
358 |
341 |
$0.00 |
| 99072 |
|
162 |
154 |
$0.00 |
| 1100F |
|
352 |
108 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
164 |
161 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
124 |
112 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
118 |
110 |
$0.00 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
175 |
160 |
$0.00 |
| 3078F |
|
219 |
193 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
158 |
153 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
4,121 |
3,698 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,299 |
1,204 |
$0.00 |
| 3050F |
|
213 |
198 |
$0.00 |
| 4004F |
|
1,865 |
1,713 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
25 |
25 |
$0.00 |
| 2024F |
|
15 |
14 |
$0.00 |
| 2022F |
|
22 |
22 |
$0.00 |
| G9636 |
Health-related quality of life not assessed with tool during at least two visits or quality of life score declined |
13 |
12 |
$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) |
27 |
26 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
123 |
120 |
$0.00 |
| 3288F |
|
40 |
40 |
$0.00 |
| 3077F |
|
13 |
13 |
$0.00 |