| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2315 |
Injection, naltrexone, depot form, 1 mg |
3,122 |
2,866 |
$3.61M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,072 |
16,645 |
$1.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,261 |
2,158 |
$177K |
| 80305 |
|
7,927 |
6,660 |
$76K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,255 |
3,018 |
$30K |
| 20610 |
|
671 |
580 |
$29K |
| 90682 |
|
540 |
537 |
$24K |
| 99442 |
|
525 |
500 |
$18K |
| 96127 |
|
3,280 |
3,230 |
$18K |
| 99205 |
Prolong outpt/office vis |
90 |
84 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
292 |
286 |
$10K |
| 99441 |
|
524 |
485 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
966 |
955 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
76 |
76 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
80 |
80 |
$7K |
| 99406 |
|
706 |
693 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,847 |
1,785 |
$4K |
| 99000 |
|
2,044 |
1,949 |
$3K |
| 99443 |
|
80 |
79 |
$3K |
| 90732 |
|
28 |
27 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
399 |
399 |
$3K |
| 20552 |
|
115 |
110 |
$3K |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
862 |
795 |
$2K |
| 90632 |
|
33 |
33 |
$2K |
| 90746 |
|
29 |
29 |
$2K |
| 82962 |
|
664 |
630 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
72 |
71 |
$1K |
| 36416 |
|
428 |
405 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 96160 |
|
594 |
591 |
$845.73 |
| 94010 |
|
24 |
24 |
$453.73 |
| 90715 |
|
12 |
12 |
$446.76 |
| 92250 |
|
15 |
15 |
$432.89 |
| 81003 |
|
242 |
226 |
$363.13 |
| 90686 |
|
19 |
19 |
$332.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$180.28 |
| 99051 |
|
13 |
13 |
$50.00 |
| 82043 |
|
14 |
14 |
$46.03 |
| 82570 |
|
14 |
14 |
$41.31 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
15 |
14 |
$23.47 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
253 |
235 |
$0.51 |
| G9007 |
Coordinated care fee, scheduled team conference |
16 |
12 |
$0.02 |
| 3080F |
|
1,196 |
1,127 |
$0.00 |
| 1036F |
|
122 |
118 |
$0.00 |
| 3079F |
|
2,745 |
2,549 |
$0.00 |
| 1111F |
|
131 |
125 |
$0.00 |
| 3074F |
|
5,182 |
4,537 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
108 |
102 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
17 |
16 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
206 |
185 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
290 |
275 |
$0.00 |
| 3075F |
|
1,330 |
1,269 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
76 |
71 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
282 |
257 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
90 |
87 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
13 |
13 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
28 |
27 |
$0.00 |
| 3017F |
|
76 |
74 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
42 |
39 |
$0.00 |
| 3072F |
|
14 |
14 |
$0.00 |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
25 |
25 |
$0.00 |
| G8926 |
Spirometry test not performed or documented, reason not given |
29 |
28 |
$0.00 |
| 98967 |
|
20 |
20 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
138 |
133 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
14 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
34 |
32 |
$0.00 |
| 3077F |
|
1,256 |
1,179 |
$0.00 |
| 3078F |
|
3,867 |
3,483 |
$0.00 |
| 3023F |
|
35 |
33 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
76 |
71 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
600 |
538 |
$0.00 |
| 98966 |
|
100 |
98 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
128 |
118 |
$0.00 |
| 4004F |
|
38 |
36 |
$0.00 |
| 99072 |
|
1,477 |
1,291 |
$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) |
17 |
17 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
92 |
84 |
$0.00 |
| G9900 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified |
43 |
43 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
83 |
80 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
320 |
293 |
$0.00 |
| 2022F |
|
15 |
15 |
$0.00 |
| G8541 |
Functional outcome assessment using a standardized tool not documented, reason not given |
314 |
297 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
13 |
13 |
$0.00 |
| G9534 |
Advanced brain imaging (cta, ct, mra or mri) was not ordered |
26 |
25 |
$0.00 |
| G9636 |
Health-related quality of life not assessed with tool during at least two visits or quality of life score declined |
12 |
12 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
13 |
13 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
18 |
18 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
25 |
25 |
$0.00 |