| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
87,967 |
12,997 |
$6.44M |
| 99233 |
Prolong inpt eval add15 m |
37,617 |
12,562 |
$2.99M |
| 99223 |
Prolong inpt eval add15 m |
15,560 |
13,665 |
$2.38M |
| 99239 |
Hospital discharge day management, more than 30 minutes |
17,431 |
15,289 |
$1.40M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20,340 |
7,430 |
$1.03M |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
18,642 |
3,952 |
$994K |
| 99220 |
|
4,044 |
3,009 |
$481K |
| 99306 |
Prolong nursin fac eval 15m |
3,166 |
2,924 |
$439K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,238 |
1,135 |
$125K |
| 99217 |
|
2,331 |
1,897 |
$123K |
| 99316 |
|
1,359 |
1,218 |
$115K |
| 99236 |
Prolong inpt eval add15 m |
546 |
456 |
$87K |
| 99226 |
|
977 |
569 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
818 |
725 |
$35K |
| 99310 |
Prolong nursin fac eval 15m |
359 |
188 |
$31K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
683 |
511 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
466 |
384 |
$27K |
| 99407 |
|
2,150 |
1,750 |
$21K |
| 99496 |
|
39 |
38 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
27 |
$2K |
| 99205 |
Prolong outpt/office vis |
40 |
30 |
$2K |
| 99385 |
|
42 |
40 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
49 |
$2K |
| 99219 |
|
13 |
12 |
$1K |
| 99315 |
|
15 |
14 |
$1K |
| 99497 |
|
1,123 |
1,023 |
$787.79 |
| 99356 |
|
25 |
13 |
$735.36 |
| 99443 |
|
14 |
13 |
$290.96 |
| 99406 |
|
69 |
54 |
$246.94 |
| G0316 |
Prolonged hospital inpatient or observation care 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 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) |
23 |
14 |
$172.00 |
| 96127 |
|
89 |
71 |
$150.81 |
| 98960 |
|
13 |
12 |
$74.25 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$50.27 |
| 99408 |
|
29 |
25 |
$34.48 |
| 99401 |
|
14 |
12 |
$27.45 |
| 1123F |
|
1,657 |
857 |
$0.00 |
| 1110F |
|
66 |
62 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,774 |
938 |
$0.00 |
| 99072 |
|
75 |
65 |
$0.00 |
| G9996 |
Documentation stating the patient has received or is currently receiving palliative or hospice care |
50 |
15 |
$0.00 |