| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99350 |
Prolong home eval add 15m |
33,062 |
18,893 |
$425K |
| 99337 |
|
10,814 |
6,231 |
$141K |
| 99349 |
|
4,811 |
2,968 |
$30K |
| 99336 |
|
1,961 |
1,277 |
$22K |
| 99490 |
Ccm add 20min |
6,773 |
4,700 |
$21K |
| 11721 |
|
4,605 |
3,079 |
$19K |
| 99348 |
|
1,644 |
1,017 |
$17K |
| G0318 |
Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes) |
7,873 |
4,660 |
$14K |
| 99335 |
|
1,408 |
1,002 |
$13K |
| 99439 |
|
734 |
535 |
$4K |
| 90838 |
|
2,083 |
1,000 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
155 |
124 |
$2K |
| 99358 |
Prolong nursin fac eval 15m |
2,701 |
1,763 |
$2K |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
2,072 |
1,338 |
$1K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
3,188 |
1,936 |
$1K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
49,844 |
30,395 |
$1K |
| 99345 |
Prolong home eval add 15m |
39 |
27 |
$940.21 |
| 99354 |
|
877 |
487 |
$921.59 |
| 99327 |
|
56 |
47 |
$623.91 |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
246 |
167 |
$572.22 |
| 99491 |
Ccm add 20min |
362 |
238 |
$492.61 |
| 99487 |
Ccm add 20min |
53 |
38 |
$182.01 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
521 |
379 |
$128.75 |
| 99497 |
|
690 |
366 |
$127.20 |
| 99483 |
Prolong outpt/office vis |
18 |
13 |
$53.70 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
358 |
236 |
$14.69 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
41 |
30 |
$12.12 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
989 |
594 |
$8.37 |
| 1170F |
|
173 |
114 |
$0.00 |
| 1126F |
|
202 |
151 |
$0.00 |
| 1123F |
|
1,839 |
1,210 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
2,854 |
1,789 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
617 |
406 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,274 |
921 |
$0.00 |
| 1036F |
|
6,792 |
4,375 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
816 |
530 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
4,925 |
2,992 |
$0.00 |
| 1101F |
|
2,283 |
1,472 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
3,178 |
1,917 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
179 |
126 |
$0.00 |
| 0509F |
|
207 |
127 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
109 |
66 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
75 |
65 |
$0.00 |
| 1125F |
|
38 |
25 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
132 |
81 |
$0.00 |
| 90694 |
|
51 |
27 |
$0.00 |
| G8733 |
Elder maltreatment screen documented as positive and a follow-up plan is documented |
39 |
28 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
15 |
12 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
7,558 |
4,676 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
282 |
214 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
4,848 |
3,010 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
6,899 |
4,477 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,891 |
1,195 |
$0.00 |
| 1100F |
|
3,688 |
2,523 |
$0.00 |
| 3288F |
|
8,069 |
5,310 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
7,245 |
4,605 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
408 |
316 |
$0.00 |
| 1090F |
|
1,728 |
1,015 |
$0.00 |
| 2022F |
|
676 |
466 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,088 |
696 |
$0.00 |
| 0518F |
|
1,381 |
885 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
590 |
380 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
118 |
64 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
66 |
42 |
$0.00 |
| 4004F |
|
75 |
62 |
$0.00 |
| 1124F |
|
143 |
88 |
$0.00 |
| 90653 |
|
61 |
37 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
43 |
33 |
$0.00 |
| 92015 |
Determination of refractive state |
20 |
15 |
$0.00 |
| 99328 |
|
16 |
13 |
$0.00 |