| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99490 |
Ccm add 20min |
1,348 |
1,339 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,060 |
925 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,081 |
928 |
$10K |
| 99493 |
|
443 |
435 |
$7K |
| 99454 |
|
581 |
579 |
$6K |
| 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)). |
348 |
348 |
$5K |
| 99491 |
Ccm add 20min |
536 |
536 |
$5K |
| 99439 |
|
570 |
569 |
$5K |
| 99457 |
|
601 |
594 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
540 |
265 |
$4K |
| 99458 |
|
521 |
519 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
950 |
162 |
$3K |
| 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 |
87 |
86 |
$2K |
| 99072 |
|
293 |
256 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
106 |
90 |
$320.40 |
| 99497 |
|
51 |
51 |
$285.16 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
268 |
79 |
$192.50 |
| 99336 |
|
263 |
259 |
$113.30 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
39 |
39 |
$106.80 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
17 |
$0.00 |
| 90686 |
|
18 |
18 |
$0.00 |
| 3288F |
|
37 |
37 |
$0.00 |