| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99336 |
|
228,455 |
163,064 |
$7.25M |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
379,254 |
243,927 |
$6.78M |
| 99349 |
|
175,485 |
106,855 |
$4.84M |
| 90832 |
Psychotherapy, 30 minutes with patient |
279,617 |
92,958 |
$2.13M |
| 99337 |
|
27,005 |
19,389 |
$1.17M |
| 99335 |
|
33,117 |
24,295 |
$730K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
48,641 |
34,236 |
$651K |
| 99350 |
Prolong home eval add 15m |
13,984 |
8,413 |
$515K |
| 99490 |
Ccm add 20min |
102,589 |
84,423 |
$435K |
| 99348 |
|
13,604 |
9,375 |
$286K |
| 99306 |
Prolong nursin fac eval 15m |
6,938 |
5,230 |
$259K |
| 90791 |
Psychiatric diagnostic evaluation |
12,396 |
7,378 |
$221K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
8,878 |
6,491 |
$175K |
| 11721 |
|
35,751 |
24,352 |
$152K |
| 99310 |
Prolong nursin fac eval 15m |
4,553 |
2,925 |
$150K |
| 99334 |
|
8,835 |
7,163 |
$134K |
| 99439 |
|
25,881 |
19,480 |
$130K |
| 11720 |
|
29,988 |
13,792 |
$61K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,035 |
1,687 |
$47K |
| 99347 |
|
3,828 |
2,574 |
$46K |
| G0127 |
Trimming of dystrophic nails, any number |
14,253 |
8,220 |
$23K |
| 99307 |
|
2,259 |
1,451 |
$21K |
| 99199 |
Unlisted special service, procedure or report |
5,218 |
5,207 |
$17K |
| 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)). |
3,937 |
3,667 |
$16K |
| 99305 |
|
535 |
428 |
$16K |
| 11056 |
|
3,823 |
2,228 |
$13K |
| 11055 |
|
5,334 |
2,793 |
$12K |
| 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 |
2,509 |
1,811 |
$10K |
| 99327 |
|
307 |
204 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,275 |
437 |
$7K |
| 11719 |
|
2,002 |
1,244 |
$5K |
| 99406 |
|
1,905 |
1,565 |
$4K |
| 99344 |
|
86 |
47 |
$3K |
| 99304 |
|
140 |
101 |
$3K |
| 99345 |
Prolong home eval add 15m |
71 |
53 |
$3K |
| 92250 |
|
218 |
146 |
$2K |
| 99496 |
|
53 |
38 |
$2K |
| 92588 |
|
291 |
203 |
$1K |
| 92557 |
|
232 |
162 |
$1K |
| 99326 |
|
66 |
59 |
$1K |
| 99407 |
|
265 |
175 |
$878.91 |
| 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 |
177 |
125 |
$740.79 |
| 99497 |
|
144 |
93 |
$721.82 |
| 99356 |
|
65 |
55 |
$720.22 |
| 99325 |
|
189 |
102 |
$695.85 |
| 11057 |
|
45 |
38 |
$504.73 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
134 |
122 |
$399.68 |
| 99491 |
Ccm add 20min |
33 |
25 |
$393.75 |
| 99328 |
|
23 |
13 |
$359.55 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
83 |
68 |
$338.54 |
| 99358 |
Prolong nursin fac eval 15m |
53 |
44 |
$335.34 |
| 92567 |
|
138 |
100 |
$294.23 |
| 99451 |
|
76 |
69 |
$236.59 |
| 99484 |
|
52 |
50 |
$199.00 |
| 99442 |
|
30 |
20 |
$182.30 |
| 90686 |
|
62 |
34 |
$169.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
14 |
$167.64 |
| 99324 |
|
66 |
43 |
$162.48 |
| 90785 |
|
255 |
128 |
$155.35 |
| 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) |
68 |
32 |
$131.54 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
101 |
85 |
$112.93 |
| 92550 |
|
171 |
108 |
$77.68 |
| 99498 |
|
23 |
17 |
$62.60 |
| 92552 |
|
70 |
47 |
$16.32 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
35,513 |
23,476 |
$1.24 |
| 0518F |
|
182 |
175 |
$0.08 |
| 1123F |
|
1,230 |
1,042 |
$0.01 |
| G9923 |
Safety concerns screen provided and negative |
112 |
104 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
466 |
326 |
$0.00 |
| G9916 |
Functional status performed once in the last 12 months |
492 |
469 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
66 |
50 |
$0.00 |
| 1100F |
|
228 |
197 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
125 |
97 |
$0.00 |
| 92555 |
|
30 |
15 |
$0.00 |
| G9917 |
Documentation of advanced stage dementia and caregiver knowledge is limited |
310 |
276 |
$0.00 |
| 1124F |
|
143 |
131 |
$0.00 |
| G0030 |
Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user |
36 |
27 |
$0.00 |
| 4004F |
|
44 |
41 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
170 |
72 |
$0.00 |
| 92553 |
|
25 |
12 |
$0.00 |
| 92556 |
|
32 |
27 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
573 |
412 |
$0.00 |
| G9922 |
Safety concerns screen provided and if positive then documented mitigation recommendations |
165 |
154 |
$0.00 |
| 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) |
189 |
170 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
17 |
13 |
$0.00 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
212 |
142 |
$0.00 |
| 1101F |
|
499 |
353 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
287 |
197 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
52 |
44 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
47 |
46 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
63 |
59 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
41 |
21 |
$0.00 |
| 4086F |
|
18 |
13 |
$0.00 |
| 3044F |
|
53 |
44 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
23 |
23 |
$0.00 |