| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
3,058 |
3,020 |
$440K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
581 |
566 |
$135K |
| 00731 |
|
2,478 |
2,411 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,270 |
2,219 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,505 |
2,482 |
$88K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
622 |
605 |
$85K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
651 |
651 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
460 |
452 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
383 |
369 |
$26K |
| 00811 |
|
426 |
417 |
$16K |
| 00812 |
|
486 |
476 |
$16K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
46 |
46 |
$7K |
| 88313 |
|
175 |
173 |
$174.00 |
| 88312 |
|
127 |
126 |
$81.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
333 |
295 |
$0.00 |
| 1036F |
|
237 |
227 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
65 |
65 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
81 |
77 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
236 |
226 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
124 |
121 |
$0.00 |
| 88342 |
|
188 |
184 |
$0.00 |
| 3017F |
|
155 |
150 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
56 |
52 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
53 |
51 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
140 |
138 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
24 |
24 |
$0.00 |