| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,454 |
14,984 |
$1.08M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
6,899 |
6,826 |
$959K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,262 |
9,198 |
$848K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
3,144 |
3,040 |
$508K |
| 99243 |
|
1,699 |
1,696 |
$191K |
| 45330 |
|
1,238 |
1,194 |
$158K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
751 |
749 |
$153K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,223 |
1,218 |
$130K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
745 |
743 |
$126K |
| 91200 |
|
4,405 |
4,389 |
$117K |
| 88312 |
|
242 |
242 |
$113K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
546 |
544 |
$112K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,561 |
1,553 |
$111K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
343 |
313 |
$97K |
| 93000 |
|
8,054 |
7,970 |
$92K |
| 88313 |
|
242 |
242 |
$82K |
| 99442 |
|
1,066 |
1,022 |
$69K |
| 83013 |
|
855 |
850 |
$48K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
861 |
793 |
$47K |
| 43251 |
|
298 |
295 |
$46K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
662 |
591 |
$27K |
| 99443 |
|
231 |
227 |
$19K |
| 99401 |
|
401 |
366 |
$14K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
633 |
607 |
$11K |
| 99072 |
|
773 |
635 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
225 |
218 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
8,228 |
7,845 |
$8K |
| 99441 |
|
162 |
153 |
$7K |
| 83014 |
|
854 |
849 |
$5K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
83 |
78 |
$3K |
| 82272 |
|
1,732 |
586 |
$3K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,734 |
1,708 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
574 |
555 |
$1K |
| 0011A |
|
27 |
27 |
$680.36 |
| 90686 |
|
39 |
39 |
$659.80 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,372 |
1,368 |
$594.00 |
| 0012A |
|
14 |
14 |
$566.74 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
1,598 |
1,593 |
$566.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$411.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
15 |
$390.81 |
| 99000 |
|
1,276 |
1,206 |
$222.79 |
| 99051 |
|
58 |
58 |
$106.28 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
18 |
18 |
$50.10 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
717 |
711 |
$42.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
25 |
25 |
$24.00 |
| 1159F |
|
1,645 |
1,621 |
$14.00 |
| 1160F |
|
1,643 |
1,619 |
$12.00 |
| 2000F |
|
789 |
789 |
$10.00 |
| 1036F |
|
1,298 |
1,294 |
$10.00 |
| 3074F |
|
766 |
763 |
$10.00 |
| 91301 |
|
27 |
27 |
$0.06 |
| 3017F |
|
596 |
595 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
581 |
579 |
$0.00 |
| 3044F |
|
26 |
26 |
$0.00 |
| 3008F |
|
74 |
71 |
$0.00 |
| 3079F |
|
83 |
83 |
$0.00 |
| 3075F |
|
56 |
56 |
$0.00 |
| 1034F |
|
12 |
12 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$0.00 |
| 3078F |
|
706 |
704 |
$0.00 |