| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
25,188 |
13,879 |
$223K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
10,854 |
7,342 |
$74K |
| 99310 |
Prolong nursin fac eval 15m |
5,731 |
3,429 |
$65K |
| 11721 |
|
3,356 |
2,841 |
$14K |
| 99305 |
|
1,827 |
1,682 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,346 |
1,159 |
$9K |
| 99350 |
Prolong home eval add 15m |
407 |
299 |
$7K |
| 99349 |
|
623 |
406 |
$7K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
129 |
62 |
$1K |
| 99316 |
|
45 |
41 |
$806.97 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
92 |
81 |
$585.05 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
54 |
49 |
$443.35 |
| 99215 |
Prolong outpt/office vis |
28 |
24 |
$222.70 |
| 99318 |
|
36 |
34 |
$209.14 |
| 99348 |
|
17 |
12 |
$202.51 |
| 11765 |
|
43 |
27 |
$191.14 |
| G0318 |
Prolonged home or residence 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 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes) |
16 |
14 |
$169.63 |
| 99307 |
|
27 |
18 |
$153.58 |
| 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) |
16 |
12 |
$98.72 |
| 36415 |
Collection of venous blood by venipuncture |
440 |
390 |
$66.13 |
| 99497 |
|
20 |
18 |
$39.32 |
| 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) |
39 |
31 |
$21.99 |
| 90694 |
|
20 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
20 |
14 |
$0.00 |