| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
308,490 |
100,241 |
$3.23M |
| 99310 |
Prolong nursin fac eval 15m |
56,571 |
23,407 |
$1.19M |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
23,926 |
12,346 |
$181K |
| 99356 |
|
5,093 |
2,649 |
$79K |
| 99306 |
Prolong nursin fac eval 15m |
2,523 |
1,807 |
$68K |
| 99358 |
Prolong nursin fac eval 15m |
9,568 |
4,388 |
$67K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,329 |
936 |
$53K |
| 99491 |
Ccm add 20min |
10,321 |
7,036 |
$33K |
| 99233 |
Prolong inpt eval add15 m |
1,501 |
324 |
$31K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
965 |
212 |
$19K |
| 99305 |
|
818 |
541 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
186 |
145 |
$11K |
| 99357 |
|
460 |
225 |
$9K |
| 99336 |
|
552 |
252 |
$7K |
| 99497 |
|
635 |
443 |
$7K |
| 99307 |
|
1,271 |
719 |
$5K |
| 99221 |
|
117 |
100 |
$4K |
| 99318 |
|
132 |
101 |
$3K |
| 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) |
714 |
397 |
$3K |
| 99359 |
Prolong nursin fac eval 15m |
815 |
384 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
32 |
28 |
$2K |
| G0182 |
Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more |
230 |
167 |
$2K |
| 99490 |
Ccm add 20min |
210 |
154 |
$1K |
| 99316 |
|
85 |
56 |
$1K |
| 99367 |
|
75 |
40 |
$1K |
| 99349 |
|
21 |
12 |
$878.21 |
| 99337 |
|
34 |
24 |
$561.57 |
| 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 |
91 |
56 |
$554.81 |
| 99496 |
|
17 |
13 |
$534.68 |
| 99418 |
Prolong nursin fac eval 15m |
26 |
14 |
$511.23 |
| 11720 |
|
199 |
151 |
$342.64 |
| 3046F |
|
22 |
12 |
$16.08 |
| 0518F |
|
7,628 |
3,833 |
$0.02 |
| 3288F |
|
6,241 |
3,083 |
$0.02 |
| 1100F |
|
6,219 |
3,075 |
$0.02 |
| 1123F |
|
10,391 |
5,758 |
$0.02 |
| 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) |
159 |
142 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
864 |
772 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
228 |
218 |
$0.00 |
| G2089 |
Most recent hemoglobin a1c (hba1c) level 7.0 to 9.0% |
13 |
12 |
$0.00 |
| 3045F |
|
50 |
27 |
$0.00 |
| 3021F |
|
88 |
41 |
$0.00 |
| 4040F |
|
25 |
25 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
63 |
49 |
$0.00 |
| 1124F |
|
13 |
12 |
$0.00 |
| G8923 |
Current or prior left ventricular ejection fraction (lvef) <= 40% or documentation of moderately or severely depressed left ventricular systolic function |
88 |
42 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
61 |
61 |
$0.00 |
| G8473 |
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed |
14 |
13 |
$0.00 |
| 3044F |
|
73 |
51 |
$0.00 |
| 4010F |
|
90 |
42 |
$0.00 |