| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
338,510 |
246,209 |
$3.31M |
| 99349 |
|
31,129 |
23,181 |
$865K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
109,269 |
81,376 |
$571K |
| 90832 |
Psychotherapy, 30 minutes with patient |
44,313 |
26,528 |
$344K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
9,570 |
8,017 |
$257K |
| 99490 |
Ccm add 20min |
38,910 |
35,884 |
$129K |
| 90791 |
Psychiatric diagnostic evaluation |
6,620 |
5,256 |
$115K |
| 99336 |
|
5,132 |
3,879 |
$65K |
| 99306 |
Prolong nursin fac eval 15m |
2,328 |
1,980 |
$56K |
| 99305 |
|
3,249 |
2,685 |
$51K |
| 99310 |
Prolong nursin fac eval 15m |
3,419 |
2,706 |
$49K |
| 99348 |
|
2,427 |
1,816 |
$49K |
| 99350 |
Prolong home eval add 15m |
913 |
740 |
$47K |
| 99307 |
|
13,306 |
10,636 |
$38K |
| 99439 |
|
8,361 |
7,596 |
$38K |
| 99356 |
|
9,296 |
7,183 |
$29K |
| 99335 |
|
2,721 |
2,319 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,076 |
929 |
$23K |
| 99347 |
|
1,075 |
725 |
$16K |
| 99344 |
|
220 |
178 |
$10K |
| 99337 |
|
414 |
262 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,124 |
1,402 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
847 |
493 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
255 |
228 |
$3K |
| 99334 |
|
265 |
240 |
$3K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
301 |
181 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
510 |
310 |
$2K |
| 99358 |
Prolong nursin fac eval 15m |
1,087 |
954 |
$2K |
| 99326 |
|
135 |
78 |
$1K |
| 90785 |
|
913 |
578 |
$1K |
| 99484 |
|
648 |
551 |
$1K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$1K |
| 99304 |
|
454 |
391 |
$687.52 |
| 99327 |
|
48 |
34 |
$651.52 |
| 99497 |
|
335 |
257 |
$631.65 |
| 99318 |
|
190 |
185 |
$599.23 |
| 99406 |
|
291 |
214 |
$456.34 |
| 99491 |
Ccm add 20min |
145 |
126 |
$335.73 |
| 99325 |
|
44 |
34 |
$307.09 |
| 99354 |
|
162 |
103 |
$280.64 |
| 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 |
94 |
84 |
$166.35 |
| 86580 |
|
63 |
45 |
$159.85 |
| 99442 |
|
16 |
14 |
$62.55 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
27,747 |
19,710 |
$56.28 |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
272 |
178 |
$49.06 |
| 1101F |
|
158 |
126 |
$0.02 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
648 |
522 |
$0.01 |
| 1124F |
|
117 |
93 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,831 |
1,234 |
$0.01 |
| G9923 |
Safety concerns screen provided and negative |
19 |
19 |
$0.00 |
| G9916 |
Functional status performed once in the last 12 months |
526 |
493 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
92 |
90 |
$0.00 |
| 1100F |
|
362 |
295 |
$0.00 |
| 3288F |
|
32 |
32 |
$0.00 |
| G0030 |
Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user |
191 |
181 |
$0.00 |
| 0518F |
|
370 |
305 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
71 |
57 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
256 |
243 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
72 |
54 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
483 |
455 |
$0.00 |
| 1123F |
|
3,110 |
2,780 |
$0.00 |
| G9922 |
Safety concerns screen provided and if positive then documented mitigation recommendations |
187 |
163 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
65 |
50 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
31 |
29 |
$0.00 |
| 4086F |
|
152 |
121 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
39 |
39 |
$0.00 |
| 99316 |
|
14 |
12 |
$0.00 |
| 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 |
12 |
12 |
$0.00 |