| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99349 |
|
6,815 |
6,021 |
$188K |
| 99350 |
Prolong home eval add 15m |
2,247 |
1,685 |
$81K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
201 |
172 |
$9K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
637 |
509 |
$9K |
| 99344 |
|
61 |
58 |
$3K |
| 99396 |
|
20 |
17 |
$2K |
| 99493 |
|
111 |
95 |
$838.70 |
| 99348 |
|
32 |
20 |
$555.42 |
| 99487 |
Ccm add 20min |
4,754 |
4,208 |
$510.00 |
| 99442 |
|
175 |
167 |
$482.30 |
| 99489 |
Ccm add 20min |
1,810 |
1,411 |
$210.98 |
| 90471 |
|
21 |
19 |
$31.12 |
| G0008 |
Administration of influenza virus vaccine |
33 |
31 |
$20.00 |
| 94760 |
|
18 |
18 |
$19.53 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
454 |
400 |
$16.90 |
| 96127 |
|
104 |
93 |
$4.62 |
| 99454 |
|
487 |
360 |
$0.00 |
| 99439 |
|
1,841 |
1,527 |
$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)). |
261 |
228 |
$0.00 |
| 99494 |
|
157 |
119 |
$0.00 |
| 99484 |
|
174 |
99 |
$0.00 |
| 99458 |
|
366 |
218 |
$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) |
757 |
502 |
$0.00 |
| 99457 |
|
458 |
304 |
$0.00 |
| 99441 |
|
139 |
128 |
$0.00 |
| 99492 |
|
41 |
30 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
52 |
52 |
$0.00 |
| 99402 |
|
21 |
20 |
$0.00 |
| 99497 |
|
2,954 |
2,186 |
$0.00 |
| 99490 |
Ccm add 20min |
3,781 |
3,348 |
$0.00 |
| 99453 |
|
150 |
112 |
$0.00 |
| 90662 |
|
33 |
31 |
$0.00 |
| 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 |
12 |
12 |
$0.00 |