| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
3,914 |
3,549 |
$350K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,048 |
4,731 |
$275K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
2,000 |
1,807 |
$246K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,078 |
2,765 |
$201K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
714 |
668 |
$151K |
| 99215 |
Prolong outpt/office vis |
893 |
863 |
$71K |
| 99223 |
Prolong inpt eval add15 m |
814 |
755 |
$44K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
170 |
121 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
368 |
361 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
418 |
266 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
143 |
137 |
$5K |
| 43235 |
|
61 |
57 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
93 |
86 |
$3K |
| 99254 |
|
19 |
12 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
163 |
139 |
$123.69 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
638 |
628 |
$0.00 |
| 1036F |
|
3,876 |
3,769 |
$0.00 |
| 3017F |
|
2,547 |
2,480 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
825 |
801 |
$0.00 |
| 3074F |
|
245 |
210 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
271 |
261 |
$0.00 |
| 1125F |
|
17 |
15 |
$0.00 |
| 3044F |
|
36 |
24 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |
| 3014F |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,195 |
3,092 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
2,449 |
2,361 |
$0.00 |
| 4004F |
|
1,619 |
1,578 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
206 |
202 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,987 |
5,833 |
$0.00 |
| 3078F |
|
135 |
114 |
$0.00 |
| 1160F |
|
91 |
79 |
$0.00 |
| 1159F |
|
92 |
80 |
$0.00 |