| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99349 |
|
20,648 |
13,371 |
$584K |
| 99354 |
|
9,809 |
6,680 |
$185K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,052 |
2,089 |
$65K |
| 99215 |
Prolong outpt/office vis |
2,547 |
1,668 |
$56K |
| 99348 |
|
1,806 |
1,168 |
$40K |
| 99350 |
Prolong home eval add 15m |
1,013 |
629 |
$35K |
| 99497 |
|
1,659 |
1,189 |
$30K |
| 99490 |
Ccm add 20min |
4,432 |
3,022 |
$27K |
| 99336 |
|
1,529 |
1,067 |
$26K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,480 |
783 |
$7K |
| 99335 |
|
561 |
355 |
$6K |
| 90674 |
|
402 |
341 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,673 |
889 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
326 |
220 |
$5K |
| 99443 |
|
355 |
224 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
317 |
281 |
$4K |
| 99417 |
Prolong home eval add 15m |
80 |
74 |
$3K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
441 |
325 |
$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 |
606 |
390 |
$2K |
| 90756 |
|
240 |
192 |
$2K |
| 99487 |
Ccm add 20min |
80 |
62 |
$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 |
1,071 |
737 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$826.92 |
| 99344 |
|
24 |
18 |
$669.80 |
| 99358 |
Prolong nursin fac eval 15m |
215 |
158 |
$638.47 |
| 99305 |
|
81 |
52 |
$563.31 |
| 99355 |
|
14 |
13 |
$423.11 |
| 90686 |
|
15 |
15 |
$301.05 |
| 94010 |
|
17 |
17 |
$219.96 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
78 |
52 |
$166.94 |
| 93793 |
|
137 |
38 |
$153.73 |
| 99408 |
|
26 |
26 |
$80.00 |
| 99406 |
|
17 |
13 |
$66.92 |
| 99375 |
|
30 |
24 |
$36.00 |
| 1170F |
|
897 |
668 |
$25.28 |
| G0250 |
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests |
15 |
12 |
$11.18 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
17,784 |
11,470 |
$9.80 |
| 1111F |
|
54 |
40 |
$0.03 |
| 3008F |
|
261 |
215 |
$0.02 |
| 3074F |
|
91 |
78 |
$0.01 |
| 3288F |
|
309 |
216 |
$0.01 |
| 3078F |
|
15 |
12 |
$0.01 |
| 1030F |
|
83 |
79 |
$0.00 |
| 1125F |
|
129 |
99 |
$0.00 |
| 1123F |
|
200 |
153 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
517 |
380 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
154 |
128 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
472 |
316 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
55 |
39 |
$0.00 |
| 2010F |
|
310 |
224 |
$0.00 |
| 1101F |
|
190 |
139 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
30 |
29 |
$0.00 |
| 1157F |
|
54 |
53 |
$0.00 |
| 99356 |
|
79 |
45 |
$0.00 |
| 4086F |
|
24 |
15 |
$0.00 |
| 1126F |
|
14 |
12 |
$0.00 |
| 2001F |
|
165 |
124 |
$0.00 |
| 3044F |
|
28 |
24 |
$0.00 |
| 2000F |
|
28 |
19 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
22 |
16 |
$0.00 |
| 3048F |
|
14 |
12 |
$0.00 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total 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 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
366 |
218 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
282 |
226 |
$0.00 |
| 1160F |
|
266 |
214 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
301 |
229 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
30 |
24 |
$0.00 |
| 4013F |
|
81 |
72 |
$0.00 |
| 1159F |
|
196 |
171 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
280 |
180 |
$0.00 |
| 1175F |
|
17 |
13 |
$0.00 |
| 4004F |
|
13 |
12 |
$0.00 |
| 3725F |
|
59 |
49 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
73 |
45 |
$0.00 |
| 1100F |
|
13 |
12 |
$0.00 |
| 4274F |
|
17 |
17 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
41 |
27 |
$0.00 |
| 99374 |
|
20 |
14 |
$0.00 |
| 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) |
18 |
12 |
$0.00 |
| 99080 |
|
17 |
16 |
$0.00 |
| 3045F |
|
30 |
18 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
17 |
12 |
$0.00 |