| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,625 |
12,908 |
$196K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
10,130 |
9,839 |
$96K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,938 |
1,930 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,457 |
1,445 |
$22K |
| 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 |
5,109 |
5,003 |
$19K |
| H0001 |
Alcohol and/or drug assessment |
3,187 |
3,166 |
$18K |
| 90686 |
|
680 |
678 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
765 |
761 |
$7K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,412 |
1,366 |
$7K |
| 97802 |
|
5,800 |
5,653 |
$7K |
| 3074F |
|
8,207 |
7,954 |
$6K |
| 3078F |
|
5,744 |
5,596 |
$5K |
| 99441 |
|
686 |
659 |
$4K |
| 3079F |
|
6,491 |
6,295 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
396 |
382 |
$4K |
| 99497 |
|
159 |
159 |
$4K |
| 3077F |
|
3,788 |
3,712 |
$4K |
| 3080F |
|
3,669 |
3,596 |
$4K |
| 0011A |
|
116 |
115 |
$3K |
| 99442 |
|
518 |
504 |
$3K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
343 |
341 |
$3K |
| 3075F |
|
3,996 |
3,906 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
6,391 |
6,377 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
442 |
433 |
$2K |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
319 |
318 |
$2K |
| 97803 |
|
4,710 |
4,612 |
$2K |
| 99385 |
|
26 |
26 |
$1K |
| 97804 |
|
4,702 |
4,603 |
$901.97 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$857.36 |
| 99401 |
|
264 |
262 |
$694.49 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
127 |
126 |
$633.12 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
7,565 |
7,350 |
$469.40 |
| 1160F |
|
8,258 |
7,920 |
$271.83 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
22 |
22 |
$248.49 |
| 99406 |
|
43 |
43 |
$244.11 |
| 1159F |
|
5,051 |
4,941 |
$197.80 |
| 1126F |
|
4,717 |
4,614 |
$184.80 |
| 86580 |
|
29 |
26 |
$173.27 |
| 90658 |
|
15 |
15 |
$161.62 |
| G0271 |
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), group (2 or more individuals), each 30 minutes |
59 |
59 |
$109.86 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
306 |
300 |
$32.22 |
| 3725F |
|
6,838 |
6,634 |
$22.51 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,647 |
2,586 |
$15.00 |
| 1125F |
|
395 |
390 |
$10.00 |
| 82042 |
|
132 |
131 |
$5.08 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
7,360 |
7,194 |
$1.40 |
| 3016F |
|
6,801 |
6,603 |
$1.40 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
8,168 |
7,923 |
$1.40 |
| 0556F |
|
5,094 |
4,967 |
$1.40 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
7,092 |
6,909 |
$1.40 |
| 4450F |
|
5,315 |
5,166 |
$1.40 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
7,346 |
7,174 |
$1.40 |
| 1036F |
|
6,634 |
6,444 |
$1.40 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
365 |
362 |
$1.16 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
35 |
35 |
$0.16 |
| 91301 |
|
100 |
99 |
$0.03 |
| 1158F |
|
6,396 |
6,207 |
$0.01 |
| G0435 |
Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening |
583 |
583 |
$0.01 |
| G9383 |
Patient received screening for hcv infection within the 12 month reporting period |
767 |
767 |
$0.00 |
| G9150 |
National committee for quality assurance - level 3 medical home |
12,035 |
11,560 |
$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 |
2,242 |
2,234 |
$0.00 |
| 4003F |
|
546 |
531 |
$0.00 |
| 4004F |
|
408 |
408 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
749 |
749 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
461 |
461 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
575 |
564 |
$0.00 |
| G9448 |
Patients who were born in the years 1945 to 1965 |
44 |
43 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
214 |
208 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
38 |
38 |
$0.00 |
| 2028F |
|
12 |
12 |
$0.00 |
| 4013F |
|
24 |
24 |
$0.00 |
| 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) |
23 |
23 |
$0.00 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
578 |
578 |
$0.00 |
| 1000F |
|
2,649 |
2,625 |
$0.00 |
| 4293F |
|
1,809 |
1,793 |
$0.00 |
| 3008F |
|
9,333 |
8,995 |
$0.00 |
| 99429 |
|
141 |
139 |
$0.00 |
| 3011F |
|
603 |
600 |
$0.00 |
| G9273 |
Blood pressure has a systolic value of < 140 and a diastolic value of < 90 |
454 |
445 |
$0.00 |
| 2000F |
|
637 |
622 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
3,558 |
3,479 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
124 |
124 |
$0.00 |
| G9274 |
Blood pressure has a systolic value of =140 and a diastolic value of = 90 or systolic value < 140 and diastolic value = 90 or systolic value = 140 and diastolic value < 90 |
453 |
444 |
$0.00 |
| 1034F |
|
100 |
100 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
257 |
254 |
$0.00 |
| 2010F |
|
338 |
333 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
110 |
106 |
$0.00 |
| 2001F |
|
342 |
337 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
563 |
553 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
93 |
93 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
25 |
25 |
$0.00 |
| 1123F |
|
525 |
525 |
$0.00 |
| 3061F |
|
26 |
26 |
$0.00 |
| 3048F |
|
26 |
26 |
$0.00 |
| G9508 |
Documentation that the patient is not on a statin medication |
25 |
25 |
$0.00 |
| 4000F |
|
12 |
12 |
$0.00 |
| 4050F |
|
13 |
13 |
$0.00 |
| 1170F |
|
14 |
14 |
$0.00 |