| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
74,046 |
34,797 |
$1.13M |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
61,156 |
35,616 |
$652K |
| 99310 |
Prolong nursin fac eval 15m |
5,574 |
3,665 |
$153K |
| 99306 |
Prolong nursin fac eval 15m |
2,711 |
2,378 |
$98K |
| 99305 |
|
3,079 |
2,488 |
$59K |
| 99307 |
|
3,825 |
2,752 |
$28K |
| 1123F |
|
13,006 |
5,510 |
$5K |
| 99316 |
|
137 |
125 |
$4K |
| 0518F |
|
7,570 |
3,277 |
$3K |
| 99348 |
|
185 |
65 |
$3K |
| 99335 |
|
417 |
115 |
$3K |
| 99497 |
|
416 |
363 |
$2K |
| 1100F |
|
5,988 |
2,650 |
$2K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
331 |
259 |
$1K |
| 1101F |
|
393 |
139 |
$1K |
| 99491 |
Ccm add 20min |
219 |
199 |
$1K |
| 1030F |
|
392 |
137 |
$1K |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
158 |
110 |
$640.10 |
| 99418 |
Prolong nursin fac eval 15m |
33 |
29 |
$629.48 |
| 99318 |
|
121 |
73 |
$576.25 |
| 99315 |
|
17 |
13 |
$461.60 |
| 99304 |
|
50 |
32 |
$411.84 |
| 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) |
177 |
154 |
$219.36 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
11,544 |
4,691 |
$179.03 |
| 4086F |
|
500 |
255 |
$100.01 |
| 99402 |
|
130 |
115 |
$0.02 |
| 3288F |
|
483 |
370 |
$0.00 |
| G9916 |
Functional status performed once in the last 12 months |
1,836 |
861 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
566 |
318 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,123 |
796 |
$0.00 |
| G9920 |
Screening performed and negative |
611 |
296 |
$0.00 |
| G9923 |
Safety concerns screen provided and negative |
1,070 |
537 |
$0.00 |
| 3720F |
|
373 |
193 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
38 |
33 |
$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) |
247 |
166 |
$0.00 |
| G9922 |
Safety concerns screen provided and if positive then documented mitigation recommendations |
304 |
174 |
$0.00 |