| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,091 |
3,073 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,606 |
5,392 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,286 |
2,192 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
312 |
309 |
$16K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,346 |
1,346 |
$13K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,837 |
1,830 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
332 |
331 |
$9K |
| 99442 |
|
1,127 |
1,062 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
800 |
791 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,078 |
1,060 |
$6K |
| H0049 |
Alcohol and/or drug screening |
3,372 |
3,359 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,055 |
3,036 |
$5K |
| 93923 |
|
27 |
27 |
$3K |
| 99401 |
|
1,537 |
1,523 |
$2K |
| 90658 |
|
276 |
275 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,897 |
1,894 |
$2K |
| 11104 |
|
14 |
14 |
$2K |
| 90688 |
|
104 |
104 |
$1K |
| 90686 |
|
105 |
105 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
24 |
$1K |
| 97802 |
|
1,105 |
1,089 |
$1K |
| 90756 |
|
128 |
128 |
$1K |
| 1125F |
|
4,902 |
4,790 |
$1K |
| 3074F |
|
1,591 |
1,586 |
$1K |
| 90674 |
|
85 |
85 |
$1K |
| 99443 |
|
454 |
452 |
$1K |
| 3078F |
|
1,597 |
1,591 |
$961.19 |
| 36415 |
Collection of venous blood by venipuncture |
3,566 |
3,546 |
$930.88 |
| 93922 |
|
15 |
15 |
$890.47 |
| 87110 |
|
148 |
148 |
$813.86 |
| 99441 |
|
61 |
60 |
$445.25 |
| 3079F |
|
731 |
729 |
$353.05 |
| 3077F |
|
168 |
168 |
$308.50 |
| 82962 |
|
1,298 |
1,265 |
$193.56 |
| 99397 |
|
154 |
154 |
$148.30 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
278 |
278 |
$116.82 |
| 1160F |
|
2,848 |
2,835 |
$113.01 |
| 94016 |
|
57 |
56 |
$72.81 |
| 3075F |
|
430 |
429 |
$52.52 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
16 |
16 |
$45.00 |
| 3080F |
|
12 |
12 |
$45.00 |
| 3008F |
|
3,802 |
3,689 |
$0.50 |
| 1159F |
|
903 |
899 |
$0.01 |
| 3725F |
|
3,239 |
3,152 |
$0.00 |
| G0473 |
Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes |
829 |
817 |
$0.00 |
| 3016F |
|
2,026 |
2,016 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,975 |
3,955 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,730 |
1,696 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
2,881 |
2,867 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
519 |
518 |
$0.00 |
| 99408 |
|
114 |
114 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,144 |
5,112 |
$0.00 |
| 1033F |
|
1,289 |
1,286 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
78 |
78 |
$0.00 |
| 97803 |
|
81 |
79 |
$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 |
27 |
27 |
$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 |
| H0001 |
Alcohol and/or drug assessment |
1,026 |
1,024 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,318 |
2,260 |
$0.00 |
| 1036F |
|
1,540 |
1,531 |
$0.00 |
| 1126F |
|
843 |
839 |
$0.00 |
| 1000F |
|
2,522 |
2,464 |
$0.00 |
| 2000F |
|
3,508 |
3,446 |
$0.00 |
| 2001F |
|
2,005 |
1,992 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
3,471 |
3,407 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,813 |
2,800 |
$0.00 |
| 1170F |
|
402 |
399 |
$0.00 |
| 1031F |
|
1,156 |
1,153 |
$0.00 |
| 4450F |
|
185 |
182 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
78 |
77 |
$0.00 |
| 4050F |
|
143 |
142 |
$0.00 |
| 2010F |
|
307 |
305 |
$0.00 |
| 82270 |
|
12 |
12 |
$0.00 |
| 99402 |
|
14 |
14 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
17 |
17 |
$0.00 |
| 91301 |
|
16 |
12 |
$0.00 |