| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
211,951 |
87,325 |
$4.51M |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
125,317 |
58,551 |
$2.13M |
| 99310 |
Prolong nursin fac eval 15m |
32,974 |
18,262 |
$1.11M |
| 99307 |
|
17,465 |
9,860 |
$184K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
444 |
219 |
$13K |
| 99497 |
|
1,608 |
1,101 |
$11K |
| 99349 |
|
521 |
237 |
$11K |
| 99316 |
|
274 |
213 |
$8K |
| 99306 |
Prolong nursin fac eval 15m |
229 |
183 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
126 |
79 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
198 |
107 |
$5K |
| 99490 |
Ccm add 20min |
700 |
485 |
$4K |
| 99305 |
|
167 |
82 |
$4K |
| 99356 |
|
519 |
253 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$3K |
| 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 |
239 |
170 |
$1K |
| 99336 |
|
50 |
27 |
$1K |
| 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) |
132 |
95 |
$902.76 |
| 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 |
210 |
133 |
$599.45 |
| 99315 |
|
40 |
24 |
$570.34 |
| 99498 |
|
25 |
25 |
$292.39 |
| 99358 |
Prolong nursin fac eval 15m |
114 |
66 |
$280.51 |
| 99348 |
|
52 |
27 |
$246.02 |
| 99406 |
|
69 |
56 |
$158.05 |
| 99337 |
|
22 |
14 |
$86.83 |
| 99439 |
|
22 |
12 |
$81.13 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,052 |
1,362 |
$0.06 |
| 0518F |
|
975 |
628 |
$0.00 |
| 1100F |
|
1,108 |
743 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
259 |
252 |
$0.00 |
| G9916 |
Functional status performed once in the last 12 months |
94 |
92 |
$0.00 |
| 1124F |
|
17 |
17 |
$0.00 |
| 1123F |
|
586 |
439 |
$0.00 |
| G8536 |
No documentation of an elder maltreatment screen, reason not given |
281 |
145 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
298 |
156 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
26 |
25 |
$0.00 |
| G8535 |
Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter related to one of the following reasons: (1) patient refuses to participate in the screening and has reasonable decisional capacity for self-protection, or (2) patient is in an urgent or emergent situation where time is of the essence and to delay treatment to perform the screening would jeopardize the patient's health status |
84 |
57 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
18 |
18 |
$0.00 |
| G9918 |
Functional status not performed, reason not otherwise specified |
20 |
13 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
76 |
69 |
$0.00 |
| 99357 |
|
35 |
13 |
$0.00 |