| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
69,389 |
41,568 |
$2.49M |
| 99336 |
|
31,743 |
21,473 |
$1.74M |
| 99310 |
Prolong nursin fac eval 15m |
29,160 |
17,913 |
$1.70M |
| 99349 |
|
18,403 |
13,220 |
$1.11M |
| 99335 |
|
26,011 |
17,906 |
$1.01M |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
35,085 |
22,468 |
$896K |
| 99350 |
Prolong home eval add 15m |
9,047 |
6,473 |
$826K |
| 99306 |
Prolong nursin fac eval 15m |
6,436 |
5,695 |
$417K |
| 99497 |
|
7,913 |
6,885 |
$232K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
11,505 |
4,162 |
$188K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
3,388 |
3,037 |
$175K |
| 99490 |
Ccm add 20min |
8,418 |
7,671 |
$138K |
| 99356 |
|
3,727 |
2,536 |
$117K |
| 99348 |
|
2,609 |
2,022 |
$90K |
| 99334 |
|
4,322 |
3,796 |
$87K |
| 99307 |
|
3,013 |
2,408 |
$40K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
647 |
271 |
$35K |
| 99327 |
|
317 |
294 |
$23K |
| 99496 |
|
167 |
154 |
$21K |
| 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)). |
1,303 |
1,071 |
$21K |
| 99337 |
|
212 |
169 |
$18K |
| 99441 |
|
1,470 |
1,100 |
$17K |
| 99439 |
|
521 |
485 |
$9K |
| 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 |
292 |
283 |
$8K |
| 99442 |
|
353 |
274 |
$7K |
| 99345 |
Prolong home eval add 15m |
37 |
35 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45 |
42 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78 |
73 |
$2K |
| 93793 |
|
255 |
107 |
$2K |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
254 |
223 |
$1K |
| 99358 |
Prolong nursin fac eval 15m |
33 |
32 |
$1K |
| 99347 |
|
44 |
39 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
404 |
362 |
$941.10 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
13 |
12 |
$664.55 |
| 99454 |
|
12 |
12 |
$405.51 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
39 |
38 |
$386.81 |
| 99491 |
Ccm add 20min |
13 |
13 |
$320.03 |
| 99453 |
|
19 |
19 |
$159.11 |
| 96127 |
|
48 |
45 |
$136.03 |
| 93040 |
|
36 |
33 |
$131.90 |
| 99305 |
|
13 |
12 |
$17.82 |