| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
23,797 |
9,095 |
$893K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
7,068 |
2,968 |
$244K |
| 99306 |
Prolong nursin fac eval 15m |
1,265 |
1,198 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,054 |
907 |
$88K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,298 |
858 |
$87K |
| 99310 |
Prolong nursin fac eval 15m |
1,330 |
829 |
$76K |
| 99305 |
|
557 |
542 |
$28K |
| 99426 |
|
1,248 |
1,229 |
$24K |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
911 |
822 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
256 |
218 |
$22K |
| 99215 |
Prolong outpt/office vis |
163 |
153 |
$22K |
| 99233 |
Prolong inpt eval add15 m |
450 |
257 |
$19K |
| 99205 |
Prolong outpt/office vis |
95 |
95 |
$19K |
| 99427 |
|
778 |
761 |
$18K |
| 80305 |
|
930 |
776 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
74 |
68 |
$9K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
995 |
864 |
$8K |
| 99443 |
|
57 |
54 |
$5K |
| 99344 |
|
55 |
48 |
$3K |
| 99349 |
|
82 |
68 |
$2K |
| 99497 |
|
55 |
53 |
$2K |
| 96138 |
|
96 |
92 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
21 |
$2K |
| 99442 |
|
12 |
12 |
$701.25 |
| 99307 |
|
81 |
46 |
$699.40 |
| 99348 |
|
39 |
37 |
$613.30 |
| 99347 |
|
24 |
24 |
$485.46 |
| 99350 |
Prolong home eval add 15m |
37 |
35 |
$368.01 |
| 99342 |
|
14 |
12 |
$332.27 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
19 |
13 |
$206.01 |
| 20610 |
|
13 |
12 |
$198.31 |
| 99490 |
Ccm add 20min |
20 |
20 |
$35.42 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
24 |
24 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
35 |
35 |
$0.00 |
| 99439 |
|
15 |
15 |
$0.00 |