| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99490 |
Ccm add 20min |
17,739 |
15,455 |
$2.19M |
| 99349 |
|
7,874 |
6,285 |
$579K |
| 99350 |
Prolong home eval add 15m |
9,076 |
6,488 |
$525K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
27,428 |
10,978 |
$385K |
| 99310 |
Prolong nursin fac eval 15m |
13,471 |
6,558 |
$349K |
| 99233 |
Prolong inpt eval add15 m |
8,701 |
1,240 |
$328K |
| 99358 |
Prolong nursin fac eval 15m |
2,982 |
2,237 |
$64K |
| 99347 |
|
261 |
197 |
$44K |
| 99497 |
|
876 |
610 |
$35K |
| 99344 |
|
335 |
261 |
$30K |
| 99348 |
|
656 |
561 |
$24K |
| 99306 |
Prolong nursin fac eval 15m |
1,000 |
700 |
$23K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,074 |
259 |
$22K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,340 |
697 |
$16K |
| 99345 |
Prolong home eval add 15m |
78 |
55 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
257 |
211 |
$8K |
| 99418 |
Prolong nursin fac eval 15m |
232 |
163 |
$6K |
| 99406 |
|
2,164 |
816 |
$6K |
| 99354 |
|
438 |
283 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
86 |
62 |
$4K |
| 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 |
680 |
648 |
$4K |
| 99343 |
|
39 |
36 |
$4K |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
486 |
429 |
$3K |
| 99454 |
|
667 |
621 |
$2K |
| 99305 |
|
261 |
143 |
$2K |
| 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 |
241 |
231 |
$2K |
| 99457 |
|
1,361 |
1,255 |
$1K |
| 99458 |
|
1,057 |
935 |
$762.37 |
| 99342 |
|
56 |
50 |
$603.79 |
| 99337 |
|
20 |
14 |
$415.40 |
| 99443 |
|
862 |
540 |
$375.87 |
| 90756 |
|
33 |
32 |
$319.92 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,517 |
2,899 |
$247.50 |
| 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) |
62 |
50 |
$118.22 |
| 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) |
23 |
14 |
$58.56 |
| 99380 |
|
35 |
27 |
$54.55 |
| 99417 |
Prolong home eval add 15m |
46 |
25 |
$38.91 |
| 99439 |
|
136 |
115 |
$32.56 |
| 90785 |
|
69 |
55 |
$21.52 |
| 90863 |
|
16 |
13 |
$17.16 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
9,329 |
3,486 |
$0.00 |
| 3079F |
|
2,376 |
929 |
$0.00 |
| 3075F |
|
3,384 |
1,297 |
$0.00 |
| 3074F |
|
6,579 |
2,617 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
1,264 |
831 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
398 |
245 |
$0.00 |
| 99379 |
|
45 |
29 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
51 |
47 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
13 |
$0.00 |
| 3080F |
|
21 |
12 |
$0.00 |
| 90656 |
|
16 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
7,742 |
2,800 |
$0.00 |
| 3078F |
|
8,498 |
3,409 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
2,017 |
581 |
$0.00 |
| 3077F |
|
1,774 |
740 |
$0.00 |
| 99359 |
Prolong nursin fac eval 15m |
57 |
39 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
21 |
19 |
$0.00 |