| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,578 |
1,570 |
$432K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,242 |
7,914 |
$184K |
| 99215 |
Prolong outpt/office vis |
2,981 |
2,808 |
$166K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
324 |
323 |
$101K |
| 99205 |
Prolong outpt/office vis |
867 |
853 |
$81K |
| 43235 |
|
308 |
305 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,457 |
1,422 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
716 |
714 |
$39K |
| 91200 |
|
1,260 |
1,238 |
$36K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
637 |
637 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
212 |
211 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
858 |
849 |
$15K |
| 76981 |
|
134 |
133 |
$9K |
| 99000 |
|
2,127 |
2,106 |
$8K |
| 99152 |
|
283 |
279 |
$5K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
13 |
13 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
16 |
16 |
$3K |
| 90686 |
|
78 |
78 |
$2K |
| 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) |
246 |
242 |
$666.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
80 |
$550.69 |
| 90662 |
|
15 |
15 |
$223.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$132.00 |
| 99153 |
Mod sedat endo service >5yrs |
28 |
28 |
$131.30 |
| 36415 |
Collection of venous blood by venipuncture |
135 |
134 |
$60.99 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
232 |
231 |
$0.12 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
115 |
115 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
814 |
794 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
400 |
392 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
54 |
53 |
$0.00 |
| 1124F |
|
15 |
15 |
$0.00 |