| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99349 |
|
9,536 |
8,394 |
$297K |
| 99350 |
Prolong home eval add 15m |
2,683 |
2,476 |
$107K |
| 99348 |
|
3,118 |
2,772 |
$60K |
| 99487 |
Ccm add 20min |
2,657 |
2,655 |
$58K |
| 99336 |
|
1,499 |
1,309 |
$50K |
| 99489 |
Ccm add 20min |
1,726 |
1,724 |
$42K |
| 99490 |
Ccm add 20min |
2,437 |
2,430 |
$39K |
| 99335 |
|
957 |
789 |
$22K |
| 99344 |
|
488 |
476 |
$19K |
| 99493 |
|
855 |
854 |
$18K |
| 11721 |
|
2,440 |
2,199 |
$13K |
| 99439 |
|
895 |
895 |
$10K |
| 99337 |
|
319 |
297 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
179 |
71 |
$8K |
| 99494 |
|
594 |
593 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
236 |
105 |
$7K |
| 11056 |
|
449 |
416 |
$5K |
| 99443 |
|
130 |
117 |
$4K |
| 99358 |
Prolong nursin fac eval 15m |
173 |
134 |
$4K |
| 99345 |
Prolong home eval add 15m |
64 |
64 |
$3K |
| 99442 |
|
170 |
154 |
$3K |
| 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 |
368 |
366 |
$3K |
| 99343 |
|
63 |
60 |
$2K |
| 99347 |
|
241 |
230 |
$2K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
291 |
264 |
$2K |
| 99497 |
|
270 |
248 |
$2K |
| 99496 |
|
42 |
41 |
$2K |
| 99326 |
|
62 |
61 |
$2K |
| 99386 |
|
16 |
16 |
$1K |
| 99484 |
|
172 |
172 |
$1K |
| 99454 |
|
88 |
88 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
44 |
41 |
$927.74 |
| 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 |
119 |
119 |
$774.98 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
23 |
19 |
$741.81 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
277 |
271 |
$663.91 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
39 |
21 |
$656.10 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
22 |
$643.39 |
| 99342 |
|
16 |
16 |
$639.21 |
| 11750 |
|
13 |
13 |
$612.95 |
| 99325 |
|
13 |
13 |
$567.30 |
| 99406 |
|
233 |
199 |
$519.21 |
| 99491 |
Ccm add 20min |
19 |
19 |
$464.01 |
| 99498 |
|
40 |
38 |
$462.29 |
| 11720 |
|
69 |
63 |
$340.03 |
| 99457 |
|
46 |
46 |
$330.10 |
| 11057 |
|
20 |
20 |
$284.21 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
90 |
73 |
$208.68 |
| 99407 |
|
40 |
34 |
$150.10 |
| 99000 |
|
72 |
31 |
$138.00 |
| 99401 |
|
49 |
46 |
$135.00 |
| 11055 |
|
18 |
17 |
$121.83 |
| G2214 |
Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional |
17 |
17 |
$117.39 |
| 11765 |
|
12 |
12 |
$111.85 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
48 |
44 |
$76.15 |
| 96127 |
|
70 |
64 |
$60.83 |
| G0127 |
Trimming of dystrophic nails, any number |
45 |
40 |
$51.19 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
13 |
13 |
$41.60 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
381 |
367 |
$31.90 |
| 99453 |
|
17 |
17 |
$31.56 |
| 99458 |
|
12 |
12 |
$14.99 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
14 |
$13.50 |
| 11719 |
|
334 |
313 |
$6.40 |
| 94760 |
|
487 |
424 |
$4.70 |
| 3074F |
|
2,118 |
2,012 |
$0.54 |
| 3078F |
|
2,305 |
2,208 |
$0.50 |
| 1034F |
|
1,077 |
1,004 |
$0.31 |
| 3077F |
|
1,047 |
1,012 |
$0.28 |
| 3079F |
|
1,097 |
1,067 |
$0.27 |
| 3080F |
|
624 |
605 |
$0.23 |
| 3075F |
|
836 |
816 |
$0.19 |
| 1160F |
|
3,123 |
2,841 |
$0.19 |
| 1159F |
|
2,554 |
2,379 |
$0.19 |
| 3288F |
|
2,590 |
2,432 |
$0.11 |
| 1101F |
|
1,933 |
1,817 |
$0.10 |
| 3008F |
|
422 |
400 |
$0.08 |
| 4013F |
|
313 |
260 |
$0.08 |
| 1000F |
|
431 |
396 |
$0.05 |
| 4064F |
|
274 |
233 |
$0.04 |
| 4145F |
|
216 |
194 |
$0.03 |
| 1170F |
|
5,312 |
4,893 |
$0.01 |
| 4000F |
|
12 |
12 |
$0.01 |
| 0521F |
|
14 |
14 |
$0.01 |
| 0509F |
|
3,226 |
3,021 |
$0.00 |
| 4008F |
|
391 |
325 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
866 |
719 |
$0.00 |
| 1036F |
|
3,974 |
3,636 |
$0.00 |
| 1125F |
|
195 |
190 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
4,062 |
3,743 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,052 |
1,813 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
238 |
209 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
152 |
140 |
$0.00 |
| 1126F |
|
183 |
174 |
$0.00 |
| 1123F |
|
240 |
229 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
523 |
501 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,225 |
1,106 |
$0.00 |
| 4010F |
|
190 |
170 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
268 |
245 |
$0.00 |
| G2181 |
Bmi not documented due to medical reason or patient refusal of height or weight measurement |
592 |
505 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
183 |
169 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |
| 3044F |
|
80 |
72 |
$0.00 |
| 1111F |
|
27 |
26 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
16 |
16 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
138 |
114 |
$0.00 |
| 3011F |
|
16 |
16 |
$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) |
17 |
16 |
$0.00 |
| 3066F |
|
15 |
14 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
5,432 |
4,576 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,572 |
5,823 |
$0.00 |
| 1090F |
|
5,089 |
4,070 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
3,652 |
3,389 |
$0.00 |
| 4004F |
|
92 |
92 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
942 |
893 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
188 |
179 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
148 |
123 |
$0.00 |
| 1124F |
|
39 |
38 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
53 |
50 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
18 |
17 |
$0.00 |
| 99072 |
|
119 |
76 |
$0.00 |
| 1100F |
|
112 |
107 |
$0.00 |
| G9724 |
Patients who had documentation of use of anticoagulant medications overlapping the measurement year |
135 |
112 |
$0.00 |
| 1175F |
|
43 |
41 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
29 |
28 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
48 |
41 |
$0.00 |
| 2028F |
|
12 |
12 |
$0.00 |