| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,822 |
21,764 |
$1.35M |
| 99233 |
Prolong inpt eval add15 m |
18,897 |
9,972 |
$1.27M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
7,493 |
7,316 |
$662K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
3,736 |
3,572 |
$553K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
5,239 |
5,026 |
$478K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,596 |
10,161 |
$436K |
| 99254 |
|
2,811 |
2,728 |
$378K |
| 43235 |
|
4,554 |
4,278 |
$324K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,743 |
3,872 |
$299K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,956 |
4,810 |
$286K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,293 |
1,233 |
$196K |
| 99223 |
Prolong inpt eval add15 m |
1,177 |
1,117 |
$122K |
| 91200 |
|
2,929 |
2,860 |
$76K |
| 99442 |
|
1,011 |
1,001 |
$59K |
| 99253 |
|
331 |
328 |
$34K |
| 99443 |
|
395 |
389 |
$32K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
147 |
147 |
$30K |
| 00731 |
|
138 |
136 |
$24K |
| 91065 |
|
206 |
203 |
$16K |
| 00812 |
|
77 |
76 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
145 |
141 |
$10K |
| 99215 |
Prolong outpt/office vis |
128 |
123 |
$10K |
| 99255 |
|
51 |
49 |
$9K |
| 00811 |
|
49 |
49 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
268 |
255 |
$7K |
| 00813 |
|
38 |
38 |
$6K |
| 99226 |
|
73 |
62 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
77 |
74 |
$3K |
| 76981 |
|
27 |
27 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
28 |
$1K |
| 99441 |
|
12 |
12 |
$403.55 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$237.51 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
548 |
516 |
$0.00 |
| 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 |
663 |
613 |
$0.00 |