| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99349 |
|
3,058 |
2,578 |
$38K |
| 99348 |
|
6,582 |
6,040 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,632 |
1,286 |
$26K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,625 |
1,050 |
$21K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,595 |
2,979 |
$18K |
| 99457 |
|
2,743 |
2,604 |
$5K |
| 11721 |
|
2,393 |
2,228 |
$3K |
| 99454 |
|
1,929 |
1,848 |
$2K |
| 96160 |
|
3,878 |
3,383 |
$2K |
| 99347 |
|
539 |
526 |
$2K |
| 99335 |
|
185 |
159 |
$2K |
| 11056 |
|
1,491 |
1,397 |
$2K |
| 94762 |
|
645 |
604 |
$1K |
| 99458 |
|
419 |
371 |
$1K |
| 99442 |
|
75 |
53 |
$946.76 |
| 99354 |
|
329 |
307 |
$688.81 |
| 96127 |
|
981 |
898 |
$567.17 |
| 99350 |
Prolong home eval add 15m |
69 |
43 |
$555.10 |
| G2087 |
Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month |
505 |
427 |
$138.40 |
| 96161 |
|
230 |
202 |
$132.07 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
65 |
45 |
$128.22 |
| 94618 |
|
15 |
12 |
$99.16 |
| 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 |
4,292 |
4,064 |
$57.57 |
| 99402 |
|
1,077 |
952 |
$51.16 |
| 99439 |
|
1,182 |
1,044 |
$46.20 |
| 99490 |
Ccm add 20min |
4,771 |
4,477 |
$30.24 |
| 99491 |
Ccm add 20min |
3,165 |
3,015 |
$27.36 |
| 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 |
2,361 |
2,246 |
$23.01 |
| 99497 |
|
1,568 |
1,449 |
$12.05 |
| 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 |
736 |
710 |
$9.80 |
| 82962 |
|
52 |
49 |
$6.38 |
| 99453 |
|
114 |
111 |
$0.00 |
| 99409 |
|
185 |
177 |
$0.00 |
| 99358 |
Prolong nursin fac eval 15m |
394 |
364 |
$0.00 |
| 99483 |
Prolong outpt/office vis |
425 |
408 |
$0.00 |
| 99487 |
Ccm add 20min |
262 |
259 |
$0.00 |
| 90682 |
|
36 |
24 |
$0.00 |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
79 |
57 |
$0.00 |
| 99401 |
|
61 |
41 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
60 |
59 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
12 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
13 |
12 |
$0.00 |
| 11057 |
|
12 |
12 |
$0.00 |
| 11720 |
|
14 |
12 |
$0.00 |
| 99484 |
|
223 |
217 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
151 |
137 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 99407 |
|
27 |
25 |
$0.00 |
| 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)). |
206 |
187 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 94760 |
|
129 |
117 |
$0.00 |
| 90674 |
|
14 |
14 |
$0.00 |
| G0250 |
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests |
43 |
20 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
18 |
12 |
$0.00 |