| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
37,564 |
7,597 |
$403K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,439 |
9,844 |
$335K |
| 99223 |
Prolong inpt eval add15 m |
5,633 |
3,964 |
$331K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,469 |
4,126 |
$297K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
4,756 |
3,599 |
$246K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,015 |
5,057 |
$109K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
924 |
683 |
$69K |
| 46221 |
|
606 |
362 |
$55K |
| 99215 |
Prolong outpt/office vis |
1,436 |
1,006 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,137 |
972 |
$50K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
458 |
353 |
$42K |
| 99205 |
Prolong outpt/office vis |
395 |
257 |
$24K |
| 88312 |
|
181 |
160 |
$20K |
| 99222 |
Initial hospital care, per day, moderate complexity |
888 |
735 |
$17K |
| 88313 |
|
187 |
164 |
$17K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
199 |
101 |
$8K |
| 99307 |
|
2,460 |
781 |
$7K |
| 99253 |
|
46 |
45 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
115 |
90 |
$4K |
| 93976 |
|
83 |
57 |
$3K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
23 |
16 |
$2K |
| 99305 |
|
59 |
48 |
$2K |
| 43235 |
|
34 |
26 |
$2K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
42 |
37 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
72 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,020 |
373 |
$931.20 |
| 99304 |
|
63 |
45 |
$875.99 |
| 99233 |
Prolong inpt eval add15 m |
77 |
49 |
$577.47 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$528.83 |
| 99426 |
|
75 |
54 |
$123.44 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
90 |
72 |
$2.69 |
| 1111F |
|
299 |
228 |
$0.00 |
| 3017F |
|
117 |
89 |
$0.00 |
| G9691 |
Patient had hospice services any time during the measurement period |
200 |
177 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
533 |
383 |
$0.00 |
| 3775F |
|
40 |
12 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
127 |
116 |
$0.00 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
114 |
88 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
37 |
30 |
$0.00 |
| 1123F |
|
29 |
26 |
$0.00 |
| G9711 |
Patients with a diagnosis or past history of total colectomy or colorectal cancer |
20 |
15 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
31 |
25 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
148 |
135 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
492 |
395 |
$0.00 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
33 |
26 |
$0.00 |
| G9710 |
Patient was provided hospice services any time during the measurement period |
15 |
13 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
401 |
303 |
$0.00 |
| 4004F |
|
37 |
32 |
$0.00 |