| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
15,217 |
10,227 |
$473K |
| 99310 |
Prolong nursin fac eval 15m |
7,823 |
5,677 |
$343K |
| 99457 |
|
6,029 |
5,917 |
$74K |
| 99306 |
Prolong nursin fac eval 15m |
1,112 |
1,061 |
$71K |
| 99337 |
|
1,938 |
1,185 |
$70K |
| 99336 |
|
2,107 |
1,414 |
$59K |
| 99454 |
|
3,152 |
3,094 |
$58K |
| 99458 |
|
4,892 |
4,798 |
$45K |
| 99350 |
Prolong home eval add 15m |
957 |
483 |
$41K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,260 |
1,050 |
$31K |
| 99497 |
|
1,312 |
1,241 |
$23K |
| 99401 |
|
1,362 |
1,130 |
$13K |
| G2214 |
Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional |
660 |
650 |
$11K |
| 99490 |
Ccm add 20min |
3,513 |
3,134 |
$2K |
| 99397 |
|
79 |
75 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
14 |
$1K |
| 99453 |
|
284 |
275 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 99328 |
|
13 |
13 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
42 |
28 |
$990.27 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
113 |
109 |
$495.70 |
| 99439 |
|
1,769 |
1,643 |
$489.99 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,062 |
967 |
$253.97 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
230 |
140 |
$250.23 |
| 99307 |
|
32 |
29 |
$193.96 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,031 |
686 |
$136.76 |
| G0407 |
Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth |
16 |
13 |
$125.10 |
| 90653 |
|
12 |
12 |
$98.40 |
| 99487 |
Ccm add 20min |
291 |
270 |
$85.81 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
64 |
31 |
$79.02 |
| 99489 |
Ccm add 20min |
243 |
224 |
$72.52 |
| 36415 |
Collection of venous blood by venipuncture |
55 |
51 |
$47.14 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
4,026 |
2,753 |
$46.28 |
| 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 |
38 |
15 |
$45.20 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,221 |
4,197 |
$7.31 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
76 |
54 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
5,505 |
3,488 |
$0.00 |
| G2197 |
Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user |
755 |
727 |
$0.00 |
| 1036F |
|
221 |
218 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
750 |
723 |
$0.00 |
| 1123F |
|
848 |
709 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
172 |
122 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
27 |
12 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
200 |
134 |
$0.00 |
| 3044F |
|
61 |
58 |
$0.00 |
| 3351F |
|
24 |
24 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
16 |
15 |
$0.00 |
| M1211 |
Most recent glycemic status assessment (hba1c or gmi) level > 9.0% |
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
832 |
746 |
$0.00 |
| 96160 |
|
178 |
172 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
139 |
99 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
212 |
209 |
$0.00 |
| 1100F |
|
356 |
327 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
203 |
147 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
46 |
43 |
$0.00 |
| 3288F |
|
287 |
179 |
$0.00 |
| 0518F |
|
267 |
267 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
17 |
17 |
$0.00 |
| 4040F |
|
16 |
14 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
4,855 |
3,319 |
$-405.35 |