| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
125,847 |
34,257 |
$1.82M |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
103,018 |
30,018 |
$1.06M |
| 99306 |
Prolong nursin fac eval 15m |
6,781 |
6,580 |
$171K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,689 |
1,604 |
$166K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
607 |
605 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
623 |
580 |
$45K |
| 99305 |
|
2,341 |
2,255 |
$41K |
| 99307 |
|
2,571 |
1,206 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
86 |
86 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
56 |
52 |
$4K |
| 99310 |
Prolong nursin fac eval 15m |
285 |
273 |
$4K |
| 62323 |
|
42 |
42 |
$4K |
| 80305 |
|
86 |
85 |
$1K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
800 |
224 |
$624.20 |
| 0518F |
|
2,680 |
727 |
$596.20 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,053 |
268 |
$573.53 |
| G9562 |
Patients who had a follow-up evaluation conducted at least every three months during opioid therapy |
592 |
203 |
$141.16 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
90 |
32 |
$117.50 |
| 3288F |
|
2,217 |
740 |
$113.55 |
| 1124F |
|
950 |
307 |
$83.66 |
| G9916 |
Functional status performed once in the last 12 months |
4,779 |
1,040 |
$80.24 |
| 1123F |
|
8,472 |
1,897 |
$0.00 |
| 1036F |
|
69 |
69 |
$0.00 |
| 4086F |
|
150 |
50 |
$0.00 |
| G9920 |
Screening performed and negative |
352 |
84 |
$0.00 |
| G9584 |
Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy |
420 |
123 |
$0.00 |
| 1100F |
|
342 |
91 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
387 |
101 |
$0.00 |
| G9923 |
Safety concerns screen provided and negative |
343 |
82 |
$0.00 |
| G9368 |
At least two orders for high-risk medications from the same drug class not ordered |
2,399 |
669 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
14 |
14 |
$0.00 |