| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,586 |
8,045 |
$246K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
12,318 |
5,031 |
$241K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,919 |
2,786 |
$227K |
| 99222 |
Initial hospital care, per day, moderate complexity |
4,092 |
3,117 |
$128K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,587 |
5,176 |
$122K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,662 |
1,236 |
$56K |
| 99223 |
Prolong inpt eval add15 m |
979 |
711 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,428 |
892 |
$49K |
| 99254 |
|
273 |
246 |
$21K |
| 99205 |
Prolong outpt/office vis |
195 |
169 |
$20K |
| 99215 |
Prolong outpt/office vis |
426 |
326 |
$18K |
| 99233 |
Prolong inpt eval add15 m |
469 |
171 |
$18K |
| 15002 |
|
297 |
141 |
$14K |
| 15004 |
|
124 |
50 |
$12K |
| 15003 |
|
30 |
12 |
$6K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
44 |
37 |
$3K |
| 93970 |
|
16 |
13 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
19 |
12 |
$1K |
| 15273 |
|
25 |
13 |
$539.35 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,976 |
3,795 |
$407.30 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
13 |
12 |
$204.83 |
| 99152 |
|
18 |
13 |
$42.69 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
231 |
109 |
$0.00 |
| 1123F |
|
197 |
160 |
$0.00 |
| G9197 |
Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis |
14 |
13 |
$0.00 |
| 4044F |
|
14 |
13 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$0.00 |