| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
104,520 |
80,384 |
$1.62M |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
133,044 |
112,933 |
$1.57M |
| 99253 |
|
7,610 |
6,535 |
$871K |
| 99252 |
|
8,401 |
7,424 |
$601K |
| 90834 |
Psychotherapy, 45 minutes with patient |
45,702 |
19,495 |
$505K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
21,385 |
14,659 |
$394K |
| 99306 |
Prolong nursin fac eval 15m |
11,406 |
10,378 |
$353K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,980 |
4,027 |
$308K |
| G9916 |
Functional status performed once in the last 12 months |
245,471 |
167,514 |
$271K |
| 90832 |
Psychotherapy, 30 minutes with patient |
29,333 |
15,703 |
$217K |
| 1123F |
|
245,593 |
167,395 |
$165K |
| 99254 |
|
919 |
889 |
$157K |
| 4322F |
|
192,002 |
143,249 |
$126K |
| 90791 |
Psychiatric diagnostic evaluation |
5,645 |
5,051 |
$118K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
263,098 |
176,179 |
$103K |
| G9512 |
Individual had a pdc of 0.8 or greater |
158,323 |
114,745 |
$61K |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
148,095 |
109,113 |
$52K |
| 99305 |
|
2,094 |
1,974 |
$48K |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
157,631 |
117,198 |
$45K |
| G9919 |
Screening performed and positive and provision of recommendations |
103,116 |
78,547 |
$30K |
| G9922 |
Safety concerns screen provided and if positive then documented mitigation recommendations |
100,489 |
76,619 |
$30K |
| 99310 |
Prolong nursin fac eval 15m |
882 |
799 |
$24K |
| G9923 |
Safety concerns screen provided and negative |
81,221 |
60,012 |
$19K |
| G9920 |
Screening performed and negative |
80,187 |
59,203 |
$18K |
| 99335 |
|
1,689 |
1,043 |
$12K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
39,604 |
31,640 |
$12K |
| 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 |
29,943 |
23,701 |
$10K |
| 99443 |
|
349 |
196 |
$6K |
| 90836 |
|
307 |
172 |
$6K |
| 1124F |
|
4,344 |
3,573 |
$4K |
| 90839 |
|
157 |
114 |
$4K |
| G9918 |
Functional status not performed, reason not otherwise specified |
5,748 |
4,559 |
$3K |
| 99205 |
Prolong outpt/office vis |
27 |
25 |
$3K |
| 99348 |
|
299 |
242 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
4,993 |
3,415 |
$2K |
| 99347 |
|
242 |
227 |
$932.77 |
| G9917 |
Documentation of advanced stage dementia and caregiver knowledge is limited |
454 |
379 |
$880.88 |
| G9921 |
No screening performed, partial screening performed or positive screen without recommendations and reason is not given or otherwise specified |
1,052 |
640 |
$393.81 |
| G8536 |
No documentation of an elder maltreatment screen, reason not given |
374 |
312 |
$381.15 |
| 99442 |
|
89 |
58 |
$328.83 |
| 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) |
272 |
239 |
$286.85 |
| G2183 |
Documentation patient unable to communicate and informant not available |
169 |
151 |
$258.47 |
| G9925 |
Safety concerns screening not provided, reason not otherwise specified |
915 |
523 |
$134.52 |
| 99334 |
|
15 |
14 |
$80.72 |
| G9513 |
Individual did not have a pdc of 0.8 or greater |
275 |
155 |
$53.87 |
| 99441 |
|
323 |
137 |
$4.00 |
| 99327 |
|
31 |
19 |
$0.00 |
| 90785 |
|
52 |
27 |
$0.00 |