| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,131 |
1,858 |
$58K |
| 99490 |
Ccm add 20min |
1,127 |
922 |
$20K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,566 |
1,109 |
$17K |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
1,299 |
910 |
$16K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
588 |
407 |
$7K |
| 99345 |
Prolong home eval add 15m |
96 |
69 |
$6K |
| 99349 |
|
158 |
95 |
$4K |
| 99483 |
Prolong outpt/office vis |
337 |
238 |
$3K |
| 99439 |
|
246 |
212 |
$3K |
| 99484 |
|
1,052 |
889 |
$3K |
| 99348 |
|
117 |
79 |
$2K |
| 99497 |
|
184 |
134 |
$1K |
| 99307 |
|
84 |
55 |
$592.18 |
| 99350 |
Prolong home eval add 15m |
36 |
28 |
$543.77 |
| 99407 |
|
81 |
54 |
$392.99 |
| G3003 |
Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.) |
39 |
39 |
$382.10 |
| 90836 |
|
46 |
34 |
$184.95 |
| 69210 |
|
19 |
13 |
$142.56 |
| 90834 |
Psychotherapy, 45 minutes with patient |
22 |
15 |
$130.88 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
69 |
56 |
$127.27 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
20 |
20 |
$0.00 |