| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
7,887 |
4,978 |
$215K |
| 99310 |
Prolong nursin fac eval 15m |
2,701 |
1,717 |
$92K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,020 |
1,911 |
$66K |
| 99306 |
Prolong nursin fac eval 15m |
472 |
429 |
$20K |
| 99497 |
|
1,428 |
1,085 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
198 |
174 |
$17K |
| 99305 |
|
169 |
142 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78 |
68 |
$5K |
| 99307 |
|
202 |
153 |
$2K |
| 99483 |
Prolong outpt/office vis |
98 |
94 |
$2K |
| G0317 |
Prolonged nursing facility 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 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) |
372 |
208 |
$1K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
114 |
45 |
$1K |
| 99490 |
Ccm add 20min |
71 |
56 |
$549.05 |
| 99491 |
Ccm add 20min |
58 |
40 |
$441.06 |
| 96127 |
|
55 |
37 |
$352.80 |
| 99406 |
|
70 |
56 |
$246.01 |
| 99441 |
|
84 |
72 |
$200.55 |
| 99356 |
|
22 |
19 |
$185.70 |
| 99492 |
|
15 |
14 |
$126.48 |
| 99487 |
Ccm add 20min |
19 |
13 |
$48.86 |
| 99489 |
Ccm add 20min |
18 |
12 |
$14.81 |
| 1123F |
|
552 |
403 |
$0.00 |
| G8968 |
Documentation of medical reason(s) for not prescribing an fda-approved anticoagulant (e.g., present or planned atrial appendage occlusion or ligation or patient being currently enrolled in a clinical trial related to af/atrial flutter treatment) |
334 |
199 |
$0.00 |
| G8969 |
Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient preference for not receiving anticoagulation) |
436 |
326 |
$0.00 |
| 4086F |
|
213 |
172 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,599 |
2,298 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
185 |
136 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
39 |
35 |
$0.00 |
| 4040F |
|
153 |
106 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
125 |
103 |
$0.00 |
| 1124F |
|
40 |
36 |
$0.00 |