| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
6,546 |
5,227 |
$1.45M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,968 |
9,777 |
$1.09M |
| 88342 |
|
5,825 |
3,898 |
$740K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,721 |
4,429 |
$692K |
| 88313 |
|
5,511 |
3,732 |
$604K |
| 88312 |
|
2,384 |
2,045 |
$485K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,998 |
1,741 |
$238K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
3,463 |
3,019 |
$222K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
442 |
398 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
911 |
852 |
$69K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,049 |
1,801 |
$38K |
| 99215 |
Prolong outpt/office vis |
187 |
173 |
$30K |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
222 |
218 |
$9K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
132 |
132 |
$4K |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
135 |
129 |
$4K |
| 1036F |
|
706 |
682 |
$4K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
103 |
102 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
14 |
$2K |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
582 |
574 |
$1K |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
550 |
531 |
$551.97 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
708 |
683 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
14 |
13 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
108 |
107 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
490 |
480 |
$0.00 |