| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,344 |
10,089 |
$516K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
6,893 |
6,533 |
$380K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,991 |
2,954 |
$265K |
| J3380 |
Injection, vedolizumab, intravenous, 1 mg |
138 |
133 |
$263K |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
139 |
133 |
$205K |
| 88342 |
|
3,163 |
3,060 |
$185K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,609 |
1,574 |
$162K |
| 88313 |
|
3,231 |
3,037 |
$157K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,279 |
3,216 |
$108K |
| 88312 |
|
764 |
737 |
$50K |
| 00731 |
|
495 |
473 |
$29K |
| 99222 |
Initial hospital care, per day, moderate complexity |
329 |
320 |
$28K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
828 |
445 |
$22K |
| 00811 |
|
453 |
412 |
$22K |
| 00813 |
|
290 |
279 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
345 |
338 |
$18K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
63 |
63 |
$16K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
33 |
33 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
172 |
168 |
$4K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$3K |
| 00812 |
|
42 |
42 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
76 |
54 |
$2K |
| 99254 |
|
12 |
12 |
$632.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$360.10 |
| J7050 |
Infusion, normal saline solution, 250 cc |
31 |
29 |
$33.46 |
| 1036F |
|
30 |
30 |
$0.00 |
| 3017F |
|
147 |
146 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
187 |
186 |
$0.00 |