| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,347 |
7,371 |
$307K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,393 |
5,446 |
$270K |
| 93000 |
|
2,821 |
2,792 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
140 |
140 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
719 |
707 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
269 |
260 |
$6K |
| 99490 |
Ccm add 20min |
351 |
351 |
$5K |
| 96127 |
|
1,188 |
1,164 |
$5K |
| 93922 |
|
231 |
210 |
$5K |
| 90674 |
|
349 |
347 |
$4K |
| 99397 |
|
1,118 |
1,113 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
5,007 |
4,880 |
$2K |
| 90756 |
|
249 |
249 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
341 |
338 |
$928.14 |
| 99441 |
|
30 |
26 |
$872.15 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
162 |
162 |
$688.50 |
| 90678 |
|
80 |
80 |
$621.23 |
| 0012A |
|
14 |
14 |
$557.21 |
| 0011A |
|
12 |
12 |
$478.94 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
184 |
183 |
$445.91 |
| 90732 |
|
28 |
28 |
$444.84 |
| 3078F |
|
5,118 |
4,345 |
$414.79 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
856 |
819 |
$391.50 |
| 90694 |
|
563 |
562 |
$391.36 |
| 3074F |
|
3,446 |
3,018 |
$371.00 |
| 0064A |
|
18 |
18 |
$318.41 |
| H0001 |
Alcohol and/or drug assessment |
26 |
25 |
$203.00 |
| 99051 |
|
332 |
310 |
$160.70 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
73 |
69 |
$124.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,013 |
1,792 |
$101.50 |
| 3079F |
|
767 |
725 |
$93.00 |
| 99406 |
|
32 |
32 |
$92.78 |
| 90662 |
|
313 |
311 |
$83.49 |
| 3077F |
|
1,333 |
1,228 |
$72.50 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
117 |
117 |
$66.75 |
| 90686 |
|
17 |
17 |
$57.37 |
| 91322 |
|
92 |
92 |
$52.08 |
| 96160 |
|
30 |
30 |
$25.97 |
| 3080F |
|
12 |
12 |
$25.00 |
| 3048F |
|
1,392 |
1,350 |
$18.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,565 |
1,414 |
$18.00 |
| 90480 |
|
92 |
92 |
$17.06 |
| G8482 |
Influenza immunization administered or previously received |
181 |
181 |
$14.55 |
| G0008 |
Administration of influenza virus vaccine |
1,195 |
1,191 |
$10.32 |
| 3075F |
|
1,265 |
1,204 |
$10.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$7.04 |
| 3008F |
|
3,481 |
3,173 |
$0.26 |
| 90750 |
|
52 |
51 |
$0.08 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
262 |
252 |
$0.00 |
| 2000F |
|
5,485 |
4,741 |
$0.00 |
| 1000F |
|
59 |
58 |
$0.00 |
| 1170F |
|
89 |
87 |
$0.00 |
| 4037F |
|
364 |
364 |
$0.00 |
| 3044F |
|
469 |
425 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
416 |
416 |
$0.00 |
| 3014F |
|
16 |
16 |
$0.00 |
| 0134A |
|
32 |
32 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
211 |
201 |
$0.00 |
| 1126F |
|
29 |
29 |
$0.00 |
| 3011F |
|
14 |
14 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
274 |
268 |
$0.00 |
| 1036F |
|
72 |
70 |
$0.00 |
| 3049F |
|
58 |
58 |
$0.00 |
| 3017F |
|
60 |
59 |
$0.00 |
| 87428 |
|
12 |
12 |
$0.00 |
| M1207 |
Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
14 |
14 |
$0.00 |
| 1125F |
|
16 |
15 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
29 |
29 |
$0.00 |
| 1101F |
|
23 |
22 |
$0.00 |
| 99072 |
|
48 |
41 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
265 |
251 |
$0.00 |
| 1160F |
|
916 |
864 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
240 |
227 |
$0.00 |
| 1159F |
|
762 |
722 |
$0.00 |
| 4013F |
|
299 |
286 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
12 |
12 |
$0.00 |
| 1158F |
|
17 |
16 |
$0.00 |
| 99071 |
|
93 |
92 |
$0.00 |
| 97803 |
|
188 |
185 |
$0.00 |
| 3725F |
|
95 |
94 |
$0.00 |
| 3288F |
|
66 |
62 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
30 |
30 |
$0.00 |
| 3016F |
|
17 |
16 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$0.00 |
| 4145F |
|
13 |
13 |
$0.00 |