| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99444 |
|
2,739 |
746 |
$157K |
| 99233 |
Prolong inpt eval add15 m |
8,650 |
2,749 |
$91K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,038 |
978 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,218 |
1,995 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,684 |
1,577 |
$32K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,700 |
4,273 |
$24K |
| 99223 |
Prolong inpt eval add15 m |
1,127 |
1,054 |
$14K |
| 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 |
1,939 |
1,939 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
453 |
228 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
294 |
276 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
390 |
367 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
251 |
249 |
$2K |
| 0011A |
|
218 |
217 |
$2K |
| 99318 |
|
126 |
123 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
631 |
530 |
$1K |
| 0012A |
|
152 |
151 |
$1K |
| 0134A |
|
64 |
64 |
$800.00 |
| 99306 |
Prolong nursin fac eval 15m |
25 |
25 |
$525.14 |
| 0064A |
|
177 |
176 |
$520.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
49 |
47 |
$493.30 |
| 0003A |
|
75 |
75 |
$440.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
27 |
$285.20 |
| 0013A |
|
51 |
51 |
$200.00 |
| 99422 |
|
71 |
24 |
$190.81 |
| 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 |
53 |
53 |
$154.06 |
| 0031A |
|
34 |
34 |
$56.78 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
335 |
331 |
$0.00 |
| 1126F |
|
29 |
29 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
335 |
330 |
$0.00 |
| 1170F |
|
354 |
349 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
336 |
335 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
93 |
92 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
41 |
41 |
$0.00 |
| 1111F |
|
203 |
198 |
$0.00 |
| 1125F |
|
134 |
134 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
110 |
109 |
$0.00 |
| 1090F |
|
332 |
328 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
55 |
55 |
$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 |
357 |
353 |
$0.00 |
| 3725F |
|
346 |
343 |
$0.00 |
| 3288F |
|
347 |
342 |
$0.00 |
| 99307 |
|
20 |
14 |
$0.00 |
| 90756 |
|
22 |
22 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
85 |
84 |
$0.00 |
| 77080 |
|
12 |
12 |
$0.00 |