| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
12,516 |
5,903 |
$364K |
| 99310 |
Prolong nursin fac eval 15m |
3,243 |
1,846 |
$199K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,362 |
2,116 |
$62K |
| 99497 |
|
2,147 |
1,697 |
$49K |
| 99490 |
Ccm add 20min |
3,559 |
3,435 |
$45K |
| 99306 |
Prolong nursin fac eval 15m |
743 |
617 |
$38K |
| 99350 |
Prolong home eval add 15m |
386 |
311 |
$9K |
| 99349 |
|
301 |
239 |
$6K |
| 99337 |
|
217 |
155 |
$5K |
| 99496 |
|
50 |
49 |
$4K |
| 99305 |
|
53 |
51 |
$2K |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
756 |
626 |
$2K |
| 99316 |
|
55 |
54 |
$1K |
| 99304 |
|
53 |
53 |
$680.12 |
| 11721 |
|
51 |
48 |
$651.60 |
| 99307 |
|
94 |
88 |
$459.06 |
| 99348 |
|
14 |
12 |
$116.17 |
| G0318 |
Prolonged home or residence 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 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes) |
101 |
81 |
$66.75 |
| 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) |
33 |
28 |
$38.31 |
| 99406 |
|
44 |
27 |
$33.18 |
| 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 |
$29.07 |
| 99439 |
|
58 |
54 |
$0.00 |