| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
118,662 |
54,482 |
$1.64M |
| 99310 |
Prolong nursin fac eval 15m |
39,412 |
20,323 |
$1.07M |
| 99306 |
Prolong nursin fac eval 15m |
7,431 |
5,621 |
$261K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
25,714 |
13,177 |
$233K |
| 99497 |
|
6,660 |
5,073 |
$49K |
| 99305 |
|
1,162 |
848 |
$21K |
| 99491 |
Ccm add 20min |
5,336 |
4,522 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
208 |
91 |
$9K |
| 99215 |
Prolong outpt/office vis |
284 |
176 |
$7K |
| 99307 |
|
1,303 |
591 |
$6K |
| 99483 |
Prolong outpt/office vis |
228 |
157 |
$6K |
| G0317 |
Prolonged nursing facility 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 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) |
1,069 |
744 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
54 |
53 |
$4K |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
437 |
302 |
$2K |
| 99205 |
Prolong outpt/office vis |
25 |
23 |
$2K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
1,258 |
934 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
152 |
105 |
$2K |
| 99304 |
|
82 |
59 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
34 |
12 |
$1K |
| 99487 |
Ccm add 20min |
204 |
161 |
$358.22 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
18 |
16 |
$269.43 |
| 99406 |
|
210 |
134 |
$263.26 |
| 99091 |
|
110 |
79 |
$215.93 |
| 90836 |
|
31 |
19 |
$120.71 |
| 99356 |
|
12 |
12 |
$118.36 |
| 99437 |
|
165 |
111 |
$27.87 |
| 96160 |
|
119 |
88 |
$18.20 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
209 |
97 |
$0.00 |
| 1123F |
|
161 |
160 |
$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) |
226 |
145 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,813 |
1,987 |
$0.00 |
| 0518F |
|
170 |
165 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
316 |
309 |
$0.00 |
| 3288F |
|
170 |
165 |
$0.00 |
| 1100F |
|
95 |
95 |
$0.00 |