| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
446,149 |
215,392 |
$12.74M |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
81,334 |
46,345 |
$1.66M |
| 99310 |
Prolong nursin fac eval 15m |
24,684 |
15,045 |
$1.05M |
| 99306 |
Prolong nursin fac eval 15m |
12,154 |
10,279 |
$535K |
| 99305 |
|
9,199 |
7,832 |
$255K |
| 99316 |
|
6,229 |
5,615 |
$183K |
| 99497 |
|
7,570 |
6,198 |
$118K |
| 99356 |
|
2,677 |
1,907 |
$47K |
| 99358 |
Prolong nursin fac eval 15m |
2,314 |
1,808 |
$25K |
| 99307 |
|
3,251 |
1,345 |
$21K |
| 99315 |
|
114 |
105 |
$5K |
| 99304 |
|
86 |
82 |
$3K |
| 99318 |
|
128 |
113 |
$3K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
19 |
13 |
$505.76 |
| 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) |
28 |
13 |
$83.02 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
143 |
129 |
$0.00 |
| 99423 |
|
89 |
32 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
580 |
552 |
$-1075.13 |