| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99349 |
|
11,949 |
6,865 |
$194K |
| 99350 |
Prolong home eval add 15m |
682 |
404 |
$15K |
| 99454 |
|
2,636 |
1,616 |
$10K |
| 99457 |
|
2,686 |
1,621 |
$8K |
| 99336 |
|
622 |
425 |
$6K |
| 99348 |
|
208 |
144 |
$3K |
| 99337 |
|
17 |
14 |
$359.34 |
| 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 |
1,775 |
1,082 |
$283.75 |
| 90662 |
|
116 |
112 |
$256.53 |
| 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 |
1,342 |
828 |
$132.07 |
| 99490 |
Ccm add 20min |
183 |
104 |
$4.36 |
| 99499 |
|
688 |
555 |
$0.90 |
| 3077F |
|
134 |
114 |
$0.00 |
| 3725F |
|
45 |
28 |
$0.00 |
| 1160F |
|
6,204 |
4,947 |
$0.00 |
| 3078F |
|
4,425 |
3,663 |
$0.00 |
| 1159F |
|
6,309 |
5,028 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
885 |
503 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
284 |
168 |
$0.00 |
| 1090F |
|
65 |
30 |
$0.00 |
| G9507 |
Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) |
70 |
51 |
$0.00 |
| 99497 |
|
280 |
172 |
$0.00 |
| 1124F |
|
84 |
43 |
$0.00 |
| 90653 |
|
63 |
47 |
$0.00 |
| 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) |
37 |
14 |
$0.00 |
| 3288F |
|
13 |
12 |
$0.00 |
| 3074F |
|
3,082 |
2,568 |
$0.00 |
| 1126F |
|
3,711 |
2,320 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,154 |
657 |
$0.00 |
| 3008F |
|
1,490 |
1,222 |
$0.00 |
| 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 |
327 |
246 |
$0.00 |
| 1036F |
|
1,076 |
620 |
$0.00 |
| 1125F |
|
806 |
533 |
$0.00 |
| 3075F |
|
703 |
591 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
68 |
38 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
166 |
148 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
23 |
13 |
$0.00 |
| 3079F |
|
353 |
295 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 1170F |
|
117 |
60 |
$0.00 |