| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
96,124 |
53,624 |
$1.31M |
| 99310 |
Prolong nursin fac eval 15m |
26,460 |
15,291 |
$487K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
42,579 |
25,623 |
$393K |
| 99306 |
Prolong nursin fac eval 15m |
4,545 |
3,364 |
$155K |
| 99305 |
|
2,349 |
1,813 |
$75K |
| 99497 |
|
5,887 |
4,121 |
$30K |
| 99316 |
|
444 |
391 |
$12K |
| 99304 |
|
533 |
424 |
$10K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
149 |
88 |
$3K |
| 99356 |
|
54 |
34 |
$2K |
| 99307 |
|
129 |
81 |
$687.79 |
| 99337 |
|
51 |
25 |
$591.11 |
| 99490 |
Ccm add 20min |
552 |
501 |
$560.76 |
| 99349 |
|
13 |
13 |
$230.80 |
| 99406 |
|
90 |
61 |
$142.87 |
| 99441 |
|
71 |
31 |
$132.57 |
| 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 |
12 |
12 |
$101.12 |
| 99335 |
|
17 |
12 |
$76.24 |
| G8432 |
Depression screening not documented, reason not given |
20,721 |
9,946 |
$0.00 |
| 1123F |
|
22,610 |
11,151 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
11,603 |
6,210 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
9,375 |
4,782 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
9,299 |
5,064 |
$0.00 |
| 1101F |
|
17,898 |
8,761 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
21,848 |
10,786 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
11,879 |
4,748 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
2,366 |
1,242 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
56 |
56 |
$0.00 |
| 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) |
59 |
42 |
$0.00 |
| 4086F |
|
175 |
140 |
$0.00 |
| G8967 |
Fda approved oral anticoagulant is prescribed |
50 |
25 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
32,543 |
16,839 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
2,470 |
1,366 |
$0.00 |
| 4040F |
|
23,230 |
11,278 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
15,491 |
7,483 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
5,158 |
2,500 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
8,985 |
5,338 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
2,572 |
1,541 |
$0.00 |
| 1124F |
|
4,574 |
2,329 |
$0.00 |
| 3288F |
|
2,593 |
1,337 |
$0.00 |
| 1100F |
|
2,580 |
1,335 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
6,460 |
3,257 |
$0.00 |
| 0518F |
|
2,510 |
1,265 |
$0.00 |
| G9990 |
Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
1,626 |
815 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
70 |
55 |
$0.00 |
| 3046F |
|
96 |
72 |
$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) |
112 |
64 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
40 |
40 |
$0.00 |
| G9991 |
Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
49 |
29 |
$0.00 |