| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
38,223 |
28,854 |
$252K |
| 90832 |
Psychotherapy, 30 minutes with patient |
32,229 |
13,137 |
$175K |
| 99310 |
Prolong nursin fac eval 15m |
15,126 |
11,498 |
$157K |
| 99215 |
Prolong outpt/office vis |
6,771 |
5,645 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,838 |
5,999 |
$76K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,033 |
2,556 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,530 |
2,977 |
$58K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
12,936 |
2,254 |
$46K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,822 |
4,778 |
$29K |
| 99337 |
|
686 |
464 |
$21K |
| 99484 |
|
1,949 |
1,692 |
$19K |
| 99336 |
|
1,787 |
1,382 |
$15K |
| 99306 |
Prolong nursin fac eval 15m |
844 |
704 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
945 |
807 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
322 |
260 |
$4K |
| 99349 |
|
238 |
199 |
$3K |
| 99328 |
|
75 |
51 |
$2K |
| 99350 |
Prolong home eval add 15m |
32 |
20 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
190 |
76 |
$2K |
| 99348 |
|
70 |
62 |
$963.47 |
| 96101 |
|
380 |
376 |
$794.68 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
329 |
199 |
$550.43 |
| 99233 |
Prolong inpt eval add15 m |
111 |
50 |
$462.78 |
| 99205 |
Prolong outpt/office vis |
35 |
30 |
$451.24 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
18 |
12 |
$244.98 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
27 |
27 |
$164.52 |
| 99335 |
|
130 |
90 |
$59.60 |
| 96136 |
|
173 |
126 |
$16.32 |
| 96137 |
|
45 |
31 |
$12.39 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
9,235 |
7,599 |
$0.14 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
10,969 |
9,148 |
$0.07 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
942 |
864 |
$0.02 |
| G9919 |
Screening performed and positive and provision of recommendations |
228 |
218 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,117 |
1,947 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,807 |
1,643 |
$0.00 |
| G9916 |
Functional status performed once in the last 12 months |
440 |
423 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,059 |
992 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
3,175 |
1,811 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$0.00 |
| G9920 |
Screening performed and negative |
472 |
448 |
$0.00 |
| G9923 |
Safety concerns screen provided and negative |
24 |
24 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
72 |
69 |
$0.00 |
| 96130 |
|
156 |
113 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
18 |
16 |
$0.00 |
| 99347 |
|
13 |
13 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
1,302 |
814 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
1,379 |
1,306 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
570 |
324 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
912 |
841 |
$0.00 |
| G9745 |
Documented reason for not screening or recommending a follow-up for high blood pressure |
338 |
320 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
107 |
102 |
$0.00 |
| G2181 |
Bmi not documented due to medical reason or patient refusal of height or weight measurement |
395 |
347 |
$0.00 |
| 96131 |
|
111 |
82 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
31 |
27 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
30 |
19 |
$0.00 |
| G9922 |
Safety concerns screen provided and if positive then documented mitigation recommendations |
12 |
12 |
$0.00 |
| G9512 |
Individual had a pdc of 0.8 or greater |
12 |
12 |
$0.00 |