| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,552 |
4,890 |
$453K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
856 |
833 |
$78K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
244 |
243 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
178 |
178 |
$18K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,246 |
1,239 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
871 |
834 |
$9K |
| H0049 |
Alcohol and/or drug screening |
470 |
468 |
$8K |
| 90688 |
|
450 |
448 |
$8K |
| H0001 |
Alcohol and/or drug assessment |
303 |
303 |
$6K |
| 99401 |
|
386 |
377 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
542 |
517 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
22 |
22 |
$3K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
249 |
245 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,644 |
1,609 |
$2K |
| 99386 |
|
16 |
16 |
$2K |
| 90674 |
|
71 |
71 |
$2K |
| 90686 |
|
84 |
84 |
$2K |
| 99385 |
|
14 |
14 |
$2K |
| 90715 |
|
12 |
12 |
$603.24 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
14 |
14 |
$575.64 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
50 |
49 |
$459.16 |
| 0013A |
|
13 |
13 |
$433.12 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
12 |
$403.52 |
| 99407 |
|
17 |
14 |
$362.24 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
28 |
27 |
$211.12 |
| 90658 |
|
12 |
12 |
$144.60 |
| 99000 |
|
80 |
80 |
$115.20 |
| 82043 |
|
38 |
38 |
$111.48 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
201 |
179 |
$103.67 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
40 |
38 |
$66.14 |
| 82570 |
|
68 |
66 |
$30.49 |
| S9470 |
Nutritional counseling, dietitian visit |
64 |
62 |
$0.00 |
| 1160F |
|
159 |
156 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
69 |
69 |
$0.00 |
| 3078F |
|
151 |
141 |
$0.00 |
| 3725F |
|
180 |
175 |
$0.00 |
| 3016F |
|
88 |
88 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
751 |
638 |
$0.00 |
| 2028F |
|
84 |
82 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
14 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
322 |
260 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
13 |
13 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
109 |
86 |
$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) |
13 |
12 |
$0.00 |
| 3044F |
|
282 |
262 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
767 |
679 |
$0.00 |
| 3008F |
|
329 |
313 |
$0.00 |
| 3066F |
|
46 |
46 |
$0.00 |
| 3061F |
|
187 |
182 |
$0.00 |
| 1125F |
|
17 |
17 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
248 |
245 |
$0.00 |
| 3074F |
|
383 |
355 |
$0.00 |
| 1000F |
|
164 |
161 |
$0.00 |
| 2023F |
|
28 |
28 |
$0.00 |
| 3048F |
|
14 |
12 |
$0.00 |
| 1126F |
|
30 |
30 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
33 |
31 |
$0.00 |
| 3011F |
|
46 |
46 |
$0.00 |
| 91301 |
|
42 |
39 |
$0.00 |