| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
125,890 |
46,885 |
$868K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
89,067 |
33,369 |
$420K |
| 99349 |
|
15,988 |
8,309 |
$235K |
| 99439 |
|
9,798 |
7,160 |
$113K |
| 99490 |
Ccm add 20min |
20,917 |
15,178 |
$106K |
| 99348 |
|
6,569 |
4,326 |
$73K |
| 99489 |
Ccm add 20min |
13,346 |
9,873 |
$50K |
| 99335 |
|
5,438 |
2,584 |
$43K |
| 99305 |
|
2,544 |
1,803 |
$38K |
| 99487 |
Ccm add 20min |
15,197 |
11,271 |
$36K |
| 99310 |
Prolong nursin fac eval 15m |
4,661 |
2,882 |
$35K |
| 99336 |
|
2,566 |
1,209 |
$19K |
| 99215 |
Prolong outpt/office vis |
440 |
356 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
285 |
225 |
$6K |
| 99350 |
Prolong home eval add 15m |
379 |
209 |
$5K |
| 99318 |
|
602 |
436 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
258 |
139 |
$5K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,394 |
1,047 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
433 |
337 |
$4K |
| 99443 |
|
932 |
601 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
371 |
179 |
$3K |
| 99497 |
|
2,989 |
2,178 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
106 |
82 |
$2K |
| 11721 |
|
1,607 |
1,277 |
$2K |
| 99307 |
|
333 |
202 |
$967.97 |
| 99454 |
|
552 |
414 |
$910.03 |
| 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 |
1,092 |
840 |
$764.08 |
| 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 |
1,322 |
994 |
$675.14 |
| 99334 |
|
312 |
210 |
$423.18 |
| 99304 |
|
25 |
16 |
$333.14 |
| 99324 |
|
56 |
44 |
$311.22 |
| 99347 |
|
96 |
64 |
$266.53 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
81 |
58 |
$232.61 |
| 90832 |
Psychotherapy, 30 minutes with patient |
75 |
34 |
$159.70 |
| 99337 |
|
14 |
12 |
$107.95 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13,989 |
5,593 |
$71.75 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
50 |
30 |
$51.16 |
| 99442 |
|
20 |
14 |
$39.70 |
| 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)). |
1,077 |
751 |
$14.96 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
284 |
163 |
$0.20 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
14,373 |
5,690 |
$0.00 |
| G9273 |
Blood pressure has a systolic value of < 140 and a diastolic value of < 90 |
5,531 |
2,427 |
$0.00 |
| 1170F |
|
27 |
26 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
672 |
296 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
236 |
177 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
337 |
243 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
628 |
411 |
$0.00 |
| 3074F |
|
73 |
38 |
$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) |
99 |
76 |
$0.00 |
| 1101F |
|
206 |
157 |
$0.00 |
| 1123F |
|
14 |
12 |
$0.00 |
| 1111F |
|
20 |
15 |
$0.00 |
| 3008F |
|
37 |
25 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
25 |
15 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
879 |
391 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
67,526 |
25,399 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
8,711 |
3,505 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
663 |
482 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
4,881 |
2,285 |
$0.00 |
| G9991 |
Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
867 |
347 |
$0.00 |
| 1159F |
|
2,576 |
1,200 |
$0.00 |
| 0518F |
|
658 |
399 |
$0.00 |
| 1100F |
|
237 |
179 |
$0.00 |
| 3288F |
|
78 |
69 |
$0.00 |
| 3085F |
|
191 |
128 |
$0.00 |
| 3078F |
|
206 |
91 |
$0.00 |
| 3725F |
|
33 |
27 |
$0.00 |
| 99325 |
|
29 |
12 |
$0.00 |
| 99453 |
|
18 |
14 |
$0.00 |