| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,474 |
2,310 |
$503K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
1,027 |
976 |
$210K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
849 |
788 |
$142K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
587 |
542 |
$104K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,852 |
1,817 |
$76K |
| 99233 |
Prolong inpt eval add15 m |
1,402 |
693 |
$65K |
| 99223 |
Prolong inpt eval add15 m |
601 |
534 |
$52K |
| 99222 |
Initial hospital care, per day, moderate complexity |
452 |
417 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
450 |
401 |
$18K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
43 |
40 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
289 |
248 |
$10K |
| 43235 |
|
33 |
29 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
75 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
68 |
$5K |
| 99254 |
|
72 |
68 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
69 |
$2K |
| 99152 |
|
26 |
26 |
$180.61 |
| G8484 |
Influenza immunization was not administered, reason not given |
49 |
42 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
100 |
70 |
$0.00 |
| 1036F |
|
25 |
16 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
23 |
14 |
$0.00 |
| 3017F |
|
15 |
12 |
$0.00 |