| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99308 |
Subsequent nursing facility care, per day, straightforward |
14,469 |
7,361 |
$187K |
| 99306 |
Prolong nursin fac eval 15m |
2,467 |
1,609 |
$73K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
4,185 |
2,729 |
$55K |
| 99310 |
Prolong nursin fac eval 15m |
2,118 |
1,188 |
$48K |
| 99336 |
|
966 |
641 |
$22K |
| 99487 |
Ccm add 20min |
4,553 |
3,299 |
$13K |
| 99318 |
|
731 |
479 |
$12K |
| 99454 |
|
2,610 |
1,713 |
$11K |
| 99457 |
|
3,162 |
2,015 |
$10K |
| 99439 |
|
3,263 |
2,406 |
$9K |
| 99490 |
Ccm add 20min |
3,682 |
2,726 |
$9K |
| 99358 |
Prolong nursin fac eval 15m |
2,621 |
2,028 |
$6K |
| 99458 |
|
2,032 |
1,295 |
$5K |
| 99349 |
|
229 |
126 |
$5K |
| 99484 |
|
4,078 |
3,241 |
$4K |
| 99497 |
|
1,696 |
1,097 |
$3K |
| G2064 |
Comprehensive care management services for a single high-risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been the cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities |
1,368 |
1,179 |
$2K |
| 99483 |
Prolong outpt/office vis |
151 |
81 |
$2K |
| 99199 |
Unlisted special service, procedure or report |
305 |
305 |
$2K |
| 99453 |
|
446 |
267 |
$1K |
| 99337 |
|
21 |
13 |
$710.12 |
| 99417 |
Prolong home eval add 15m |
47 |
34 |
$616.38 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
25 |
18 |
$500.00 |
| 99356 |
|
23 |
13 |
$261.34 |
| 99316 |
|
21 |
12 |
$250.52 |
| 99443 |
|
100 |
64 |
$98.57 |
| 99442 |
|
35 |
29 |
$10.96 |
| 99441 |
|
29 |
17 |
$7.84 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
42 |
37 |
$0.00 |
| G0317 |
Prolonged nursing facility 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 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) |
60 |
33 |
$0.00 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total 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 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
20 |
14 |
$0.00 |