| Code | Description | Claims | Beneficiaries | Total Paid |
| 99310 |
Prolong nursin fac eval 15m |
5,401 |
4,033 |
$151K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
9,240 |
7,977 |
$102K |
| G9922 |
Safety concerns screen provided and if positive then documented mitigation recommendations |
3,786 |
2,752 |
$43K |
| 99306 |
Prolong nursin fac eval 15m |
1,331 |
1,215 |
$40K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
18,358 |
14,334 |
$30K |
| G9923 |
Safety concerns screen provided and negative |
2,617 |
2,256 |
$26K |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
10,509 |
8,261 |
$25K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
8,570 |
6,722 |
$22K |
| G9921 |
No screening performed, partial screening performed or positive screen without recommendations and reason is not given or otherwise specified |
4,853 |
2,340 |
$10K |
| 1036F |
|
5,216 |
4,157 |
$9K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
7,454 |
5,752 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
923 |
849 |
$5K |
| 99497 |
|
952 |
806 |
$5K |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
2,244 |
1,911 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
205 |
192 |
$5K |
| G9916 |
Functional status performed once in the last 12 months |
6,484 |
5,082 |
$4K |
| G8432 |
Depression screening not documented, reason not given |
1,722 |
1,317 |
$4K |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
1,298 |
1,019 |
$3K |
| 1123F |
|
17,046 |
13,403 |
$3K |
| G9250 |
Documentation of patient pain brought to a comfortable level within 48 hours from initial assessment |
845 |
685 |
$3K |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
385 |
358 |
$2K |
| 99356 |
|
20 |
19 |
$2K |
| G9562 |
Patients who had a follow-up evaluation conducted at least every three months during opioid therapy |
314 |
258 |
$2K |
| G8535 |
Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter related to one of the following reasons: (1) patient refuses to participate in the screening and has reasonable decisional capacity for self-protection, or (2) patient is in an urgent or emergent situation where time is of the essence and to delay treatment to perform the screening would jeopardize the patient's health status |
613 |
554 |
$2K |
| G9909 |
Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months if identified as a tobacco user (e.g., limited life expectancy, other medical reason) |
119 |
106 |
$1K |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
104 |
89 |
$981.50 |
| G9908 |
Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
325 |
201 |
$929.73 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
482 |
424 |
$744.30 |
| G9561 |
Patients prescribed opiates for longer than six weeks |
233 |
183 |
$539.19 |
| G8536 |
No documentation of an elder maltreatment screen, reason not given |
1,162 |
867 |
$341.18 |
| 1124F |
|
815 |
576 |
$302.63 |
| 99305 |
|
74 |
70 |
$261.24 |
| G9920 |
Screening performed and negative |
934 |
766 |
$133.33 |
| 4004F |
|
393 |
297 |
$101.27 |
| G9904 |
Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason) |
79 |
71 |
$24.63 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
53 |
42 |
$24.13 |
| 99233 |
Prolong inpt eval add15 m |
19 |
13 |
$19.07 |
| G9905 |
Patient not screened for tobacco use |
253 |
146 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
189 |
157 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
184 |
104 |
$0.00 |
| 1111F |
|
180 |
154 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
35 |
27 |
$0.00 |
| G8735 |
Elder maltreatment screen documented as positive, follow-up plan not documented, reason not given |
178 |
105 |
$0.00 |