| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,876 |
1,691 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,671 |
3,340 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,684 |
1,510 |
$74K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
263 |
238 |
$40K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
141 |
128 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
331 |
309 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
435 |
404 |
$20K |
| 43248 |
|
187 |
174 |
$20K |
| 99223 |
Prolong inpt eval add15 m |
337 |
290 |
$12K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
650 |
233 |
$9K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
60 |
50 |
$8K |
| 45384 |
|
15 |
14 |
$2K |
| 99152 |
|
19 |
18 |
$83.94 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,430 |
3,131 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
6,426 |
5,897 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
2,925 |
2,638 |
$0.00 |
| 4004F |
|
1,726 |
1,597 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
373 |
350 |
$0.00 |
| 1036F |
|
3,533 |
3,223 |
$0.00 |
| 3017F |
|
2,140 |
1,969 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
440 |
414 |
$0.00 |