| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
7,593 |
7,502 |
$1.71M |
| 46250 |
|
3,526 |
3,447 |
$1.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,476 |
13,961 |
$857K |
| 88312 |
|
1,043 |
1,042 |
$705K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,541 |
1,456 |
$673K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
2,186 |
2,178 |
$613K |
| 45350 |
|
1,348 |
1,335 |
$573K |
| 88313 |
|
1,042 |
1,041 |
$514K |
| 46230 |
|
3,930 |
3,769 |
$468K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,236 |
4,225 |
$342K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,943 |
3,807 |
$317K |
| 46930 |
|
3,681 |
3,585 |
$315K |
| 91120 |
|
908 |
903 |
$293K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,390 |
1,325 |
$272K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
759 |
758 |
$181K |
| 45398 |
|
461 |
458 |
$179K |
| 91065 |
|
2,894 |
2,719 |
$156K |
| 91122 |
|
946 |
939 |
$150K |
| 46500 |
|
996 |
973 |
$132K |
| 45381 |
|
863 |
798 |
$94K |
| 46221 |
|
577 |
576 |
$85K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
499 |
499 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,705 |
1,621 |
$42K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
205 |
200 |
$40K |
| 86328 |
|
1,564 |
821 |
$38K |
| 51784 |
|
654 |
647 |
$26K |
| 43251 |
|
67 |
67 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
397 |
390 |
$17K |
| 45330 |
|
250 |
242 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
244 |
243 |
$11K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
943 |
896 |
$10K |
| 46200 |
|
50 |
45 |
$10K |
| 46255 |
|
26 |
25 |
$9K |
| 45331 |
|
106 |
106 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
67 |
67 |
$7K |
| 43236 |
|
103 |
96 |
$6K |
| 99358 |
Prolong nursin fac eval 15m |
201 |
186 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
454 |
448 |
$5K |
| 91200 |
|
339 |
339 |
$5K |
| 91035 |
|
12 |
12 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,851 |
2,779 |
$4K |
| 99406 |
|
260 |
218 |
$3K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
24 |
24 |
$3K |
| 46946 |
|
30 |
30 |
$3K |
| 45390 |
|
21 |
21 |
$3K |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
2,471 |
2,378 |
$2K |
| 99215 |
Prolong outpt/office vis |
29 |
28 |
$2K |
| 95907 |
|
27 |
27 |
$2K |
| 99441 |
|
30 |
30 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
67 |
65 |
$631.57 |
| 99000 |
|
511 |
499 |
$30.27 |
| 36416 |
|
25 |
24 |
$11.60 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
82 |
82 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
111 |
110 |
$0.00 |
| 1000F |
|
18 |
18 |
$0.00 |
| 1036F |
|
32 |
32 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
64 |
64 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
118 |
118 |
$0.00 |
| 3008F |
|
26 |
26 |
$0.00 |
| 3074F |
|
14 |
14 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
27 |
26 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
107 |
106 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
142 |
140 |
$0.00 |
| 3078F |
|
14 |
14 |
$0.00 |