| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,374 |
5,134 |
$369K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,569 |
1,380 |
$260K |
| 00731 |
|
1,554 |
1,548 |
$235K |
| 00811 |
|
1,405 |
1,386 |
$234K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,939 |
1,937 |
$188K |
| 86328 |
|
1,217 |
1,133 |
$52K |
| 86769 |
|
1,217 |
1,133 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
426 |
419 |
$45K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
180 |
177 |
$35K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
129 |
124 |
$29K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,279 |
1,191 |
$26K |
| 00812 |
|
100 |
100 |
$10K |
| 99243 |
|
78 |
78 |
$9K |
| 45384 |
|
20 |
17 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
53 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
65 |
59 |
$3K |
| 88342 |
|
16 |
14 |
$837.32 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
12 |
$407.07 |
| 88312 |
|
12 |
12 |
$356.04 |
| 36415 |
Collection of venous blood by venipuncture |
1,271 |
1,181 |
$311.75 |
| 88313 |
|
15 |
13 |
$274.17 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$102.62 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,051 |
1,978 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
272 |
260 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
512 |
495 |
$0.00 |
| 3017F |
|
111 |
108 |
$0.00 |
| 1036F |
|
459 |
448 |
$0.00 |
| G9908 |
Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
134 |
130 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,629 |
1,609 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,243 |
3,138 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,541 |
2,484 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
103 |
103 |
$0.00 |