| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99497 |
|
8,450 |
3,410 |
$291K |
| 99498 |
|
3,560 |
1,430 |
$125K |
| 99233 |
Prolong inpt eval add15 m |
2,758 |
574 |
$104K |
| 99358 |
Prolong nursin fac eval 15m |
1,832 |
1,282 |
$53K |
| 99223 |
Prolong inpt eval add15 m |
730 |
707 |
$38K |
| 99310 |
Prolong nursin fac eval 15m |
1,395 |
1,054 |
$28K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
989 |
681 |
$24K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
834 |
180 |
$20K |
| 99350 |
Prolong home eval add 15m |
188 |
159 |
$9K |
| 99349 |
|
135 |
110 |
$5K |
| 99442 |
|
246 |
200 |
$4K |
| 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) |
356 |
289 |
$4K |
| 99483 |
Prolong outpt/office vis |
33 |
31 |
$3K |
| 97550 |
|
170 |
127 |
$2K |
| 99305 |
|
53 |
53 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
34 |
29 |
$963.75 |
| 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) |
14 |
12 |
$60.16 |
| S0311 |
Comprehensive management and care coordination for advanced illness, per calendar month |
43 |
39 |
$0.00 |