| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,415 |
6,450 |
$212K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,682 |
4,449 |
$202K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,978 |
1,912 |
$175K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
807 |
751 |
$89K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
600 |
556 |
$72K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
478 |
456 |
$65K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
60 |
59 |
$9K |
| 43259 |
|
15 |
15 |
$2K |
| 43237 |
|
13 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$495.84 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
18 |
18 |
$0.00 |
| 0528F |
|
43 |
42 |
$0.00 |
| 4040F |
|
34 |
33 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
43 |
42 |
$0.00 |
| 4004F |
|
12 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
21 |
20 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
21 |
20 |
$0.00 |