| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0444 |
Annual depression screening, 5 to 15 minutes |
10,691 |
10,171 |
$106K |
| 93000 |
|
4,624 |
4,610 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,454 |
3,380 |
$43K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,155 |
3,937 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,673 |
6,962 |
$30K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,855 |
1,849 |
$21K |
| 99401 |
|
5,658 |
5,354 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,651 |
1,646 |
$16K |
| H0001 |
Alcohol and/or drug assessment |
8,278 |
8,082 |
$9K |
| 99443 |
|
510 |
508 |
$8K |
| 76830 |
Ultrasound, transvaginal |
56 |
55 |
$6K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
156 |
154 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
61 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
405 |
401 |
$4K |
| 99385 |
|
209 |
209 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
9,858 |
9,285 |
$4K |
| 96160 |
|
9,285 |
8,841 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
7,931 |
7,651 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
243 |
243 |
$2K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
395 |
386 |
$2K |
| 99497 |
|
70 |
69 |
$2K |
| 99442 |
|
203 |
202 |
$2K |
| 99498 |
|
70 |
69 |
$2K |
| 99386 |
|
14 |
14 |
$2K |
| 0011A |
|
39 |
39 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
68 |
$934.65 |
| 96127 |
|
176 |
164 |
$898.81 |
| 57150 |
|
13 |
12 |
$833.91 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
163 |
161 |
$798.24 |
| 3074F |
|
1,215 |
1,198 |
$690.50 |
| 99441 |
|
95 |
93 |
$619.25 |
| 0012A |
|
14 |
14 |
$523.06 |
| 90674 |
|
101 |
101 |
$461.19 |
| 3079F |
|
851 |
834 |
$448.50 |
| 0064A |
|
13 |
12 |
$440.00 |
| 3078F |
|
975 |
965 |
$433.00 |
| S0610 |
Annual gynecological examination, new patient |
42 |
41 |
$312.50 |
| 90658 |
|
91 |
91 |
$302.64 |
| 90756 |
|
156 |
156 |
$247.22 |
| 81528 |
Oncology (colorectal) screening, quantitative real-time target and signal amplification |
498 |
475 |
$225.00 |
| 1126F |
|
1,676 |
1,640 |
$212.46 |
| 81002 |
|
90 |
89 |
$186.93 |
| 82270 |
|
796 |
771 |
$153.33 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
250 |
245 |
$145.00 |
| G0102 |
Prostate cancer screening; digital rectal examination |
177 |
173 |
$114.63 |
| 3077F |
|
204 |
202 |
$107.50 |
| 3075F |
|
327 |
324 |
$105.00 |
| 83014 |
|
12 |
12 |
$73.76 |
| 1125F |
|
918 |
907 |
$63.20 |
| S0613 |
Annual gynecological examination; clinical breast examination without pelvic evaluation |
82 |
81 |
$22.50 |
| 3061F |
|
484 |
473 |
$16.00 |
| 1170F |
|
43 |
42 |
$15.00 |
| 1160F |
|
669 |
650 |
$15.00 |
| 1159F |
|
669 |
650 |
$15.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$14.38 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,458 |
2,411 |
$13.32 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
7,950 |
7,770 |
$12.65 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,228 |
2,191 |
$11.52 |
| G0432 |
Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening |
562 |
552 |
$7.04 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
1,087 |
1,065 |
$3.60 |
| 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) |
1,179 |
1,157 |
$3.60 |
| 82948 |
|
15 |
15 |
$0.91 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,903 |
6,674 |
$0.53 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
228 |
225 |
$0.33 |
| 4010F |
|
990 |
971 |
$0.03 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
65 |
61 |
$0.01 |
| 1000F |
|
7,669 |
7,496 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
39 |
39 |
$0.00 |
| 2001F |
|
7,326 |
7,015 |
$0.00 |
| 1036F |
|
7,723 |
7,558 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,506 |
3,396 |
$0.00 |
| 3008F |
|
9,528 |
9,016 |
$0.00 |
| 3080F |
|
53 |
52 |
$0.00 |
| 2010F |
|
6,783 |
6,564 |
$0.00 |
| G8473 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed |
746 |
738 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
50 |
49 |
$0.00 |
| 3044F |
|
126 |
125 |
$0.00 |
| 3014F |
|
575 |
562 |
$0.00 |
| 3011F |
|
77 |
76 |
$0.00 |
| 3048F |
|
317 |
307 |
$0.00 |
| 91301 |
|
79 |
77 |
$0.00 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
308 |
303 |
$0.00 |
| 3049F |
|
87 |
84 |
$0.00 |
| 97802 |
|
77 |
76 |
$0.00 |
| 1157F |
|
43 |
42 |
$0.00 |
| 2016F |
|
13 |
13 |
$0.00 |
| 99000 |
|
19 |
19 |
$0.00 |
| 0521F |
|
1,256 |
1,240 |
$0.00 |
| 3725F |
|
9,036 |
8,560 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,981 |
2,864 |
$0.00 |
| 3016F |
|
7,762 |
7,589 |
$0.00 |
| 3015F |
|
240 |
232 |
$0.00 |
| 4013F |
|
53 |
53 |
$0.00 |
| 1158F |
|
43 |
42 |
$0.00 |
| 0556F |
|
69 |
68 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
541 |
535 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
342 |
334 |
$0.00 |
| 5250F |
|
138 |
133 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
75 |
72 |
$0.00 |
| G8399 |
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed |
13 |
13 |
$0.00 |
| 3050F |
|
64 |
64 |
$0.00 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
13 |
13 |
$0.00 |