| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
35,136 |
20,373 |
$6.21M |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
117,052 |
27,087 |
$4.20M |
| 99310 |
Prolong nursin fac eval 15m |
39,864 |
10,443 |
$2.38M |
| 99233 |
Prolong inpt eval add15 m |
26,982 |
5,825 |
$1.52M |
| 99205 |
Prolong outpt/office vis |
3,496 |
3,341 |
$813K |
| 99337 |
|
8,298 |
2,791 |
$344K |
| 99223 |
Prolong inpt eval add15 m |
2,623 |
2,456 |
$287K |
| 99306 |
Prolong nursin fac eval 15m |
3,333 |
3,062 |
$246K |
| 99220 |
|
1,806 |
1,707 |
$170K |
| 99417 |
Prolong home eval add 15m |
3,591 |
2,360 |
$170K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,800 |
2,627 |
$166K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,413 |
1,581 |
$144K |
| 99454 |
|
4,091 |
3,975 |
$129K |
| 99354 |
|
2,286 |
1,681 |
$114K |
| 99350 |
Prolong home eval add 15m |
3,067 |
1,882 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,070 |
1,626 |
$113K |
| 99336 |
|
3,619 |
1,455 |
$97K |
| 99457 |
|
3,736 |
3,398 |
$94K |
| 99497 |
|
2,424 |
1,261 |
$63K |
| 99226 |
|
1,081 |
593 |
$57K |
| 99349 |
|
1,200 |
717 |
$43K |
| 99217 |
|
835 |
802 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
163 |
161 |
$17K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,838 |
985 |
$15K |
| 99219 |
|
191 |
182 |
$15K |
| 99347 |
|
412 |
325 |
$13K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
106 |
102 |
$10K |
| 99348 |
|
271 |
231 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
165 |
56 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
219 |
189 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
80 |
78 |
$7K |
| 0012A |
|
205 |
193 |
$5K |
| 99401 |
|
389 |
276 |
$5K |
| 97802 |
|
7,102 |
3,010 |
$5K |
| 99453 |
|
359 |
350 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,096 |
1,640 |
$3K |
| 99458 |
|
175 |
164 |
$3K |
| 99316 |
|
55 |
54 |
$3K |
| 0011A |
|
130 |
124 |
$3K |
| 99490 |
Ccm add 20min |
547 |
415 |
$3K |
| 99305 |
|
44 |
43 |
$2K |
| 97803 |
|
4,533 |
1,732 |
$2K |
| 99318 |
|
27 |
25 |
$1K |
| 99315 |
|
43 |
37 |
$1K |
| 99358 |
Prolong nursin fac eval 15m |
26 |
13 |
$1K |
| 99221 |
|
15 |
15 |
$961.42 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$719.73 |
| 99406 |
|
525 |
284 |
$458.22 |
| 99307 |
|
20 |
13 |
$413.97 |
| G0408 |
Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth |
25 |
12 |
$310.69 |
| 36415 |
Collection of venous blood by venipuncture |
213 |
190 |
$292.86 |
| 99496 |
|
18 |
14 |
$213.66 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
507 |
172 |
$194.17 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
668 |
332 |
$175.12 |
| 99491 |
Ccm add 20min |
30 |
29 |
$103.51 |
| G8482 |
Influenza immunization administered or previously received |
416 |
399 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
1,527 |
1,391 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
16,264 |
3,698 |
$0.00 |
| 98960 |
|
2,550 |
1,753 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
158 |
151 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
1,462 |
1,369 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
47 |
28 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
77 |
66 |
$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) |
17 |
15 |
$0.00 |
| 1123F |
|
373 |
327 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
34,537 |
6,905 |
$0.00 |
| 1111F |
|
7,508 |
3,369 |
$0.00 |
| 99000 |
|
849 |
496 |
$0.00 |
| G8536 |
No documentation of an elder maltreatment screen, reason not given |
187 |
174 |
$0.00 |
| 98961 |
|
279 |
212 |
$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) |
858 |
443 |
$0.00 |
| G8734 |
Elder maltreatment screen documented as negative, follow-up is not required |
121 |
106 |
$0.00 |
| 91301 |
|
74 |
59 |
$0.00 |
| 99070 |
|
71 |
54 |
$0.00 |