| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12,588 |
4,673 |
$53K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
14,950 |
6,528 |
$53K |
| 99307 |
|
8,975 |
4,380 |
$20K |
| 99306 |
Prolong nursin fac eval 15m |
659 |
498 |
$5K |
| 99348 |
|
627 |
454 |
$2K |
| 99305 |
|
24 |
15 |
$708.25 |
| 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 |
1,620 |
1,280 |
$683.29 |
| 90791 |
Psychiatric diagnostic evaluation |
67 |
38 |
$346.54 |
| 90834 |
Psychotherapy, 45 minutes with patient |
288 |
96 |
$340.71 |
| 99349 |
|
358 |
269 |
$262.39 |
| 99350 |
Prolong home eval add 15m |
61 |
41 |
$64.14 |
| 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) |
67 |
42 |
$21.92 |
| 90832 |
Psychotherapy, 30 minutes with patient |
26 |
19 |
$11.94 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
168 |
149 |
$0.00 |
| 99345 |
Prolong home eval add 15m |
32 |
28 |
$0.00 |
| 1123F |
|
268 |
248 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
104 |
99 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
122 |
107 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
218 |
202 |
$0.00 |
| 3046F |
|
252 |
233 |
$0.00 |
| 99347 |
|
59 |
37 |
$0.00 |
| 99336 |
|
23 |
12 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
41 |
38 |
$0.00 |
| 99497 |
|
43 |
32 |
$0.00 |