| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,126 |
5,748 |
$477K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,480 |
1,425 |
$432K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,781 |
1,742 |
$267K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,877 |
5,474 |
$174K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,774 |
1,660 |
$95K |
| 00731 |
|
878 |
861 |
$84K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,555 |
1,451 |
$71K |
| 00811 |
|
417 |
407 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
345 |
338 |
$29K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
55 |
54 |
$19K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
30 |
28 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
378 |
370 |
$8K |
| 00813 |
|
54 |
49 |
$7K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,477 |
1,852 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
271 |
149 |
$3K |
| 88312 |
|
555 |
391 |
$2K |
| 99441 |
|
350 |
318 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$1K |
| 88313 |
|
632 |
449 |
$1K |
| 00812 |
|
12 |
12 |
$1K |
| 99442 |
|
47 |
39 |
$773.22 |
| 99223 |
Prolong inpt eval add15 m |
15 |
13 |
$153.93 |
| 99233 |
Prolong inpt eval add15 m |
19 |
12 |
$107.50 |
| 3017F |
|
132 |
123 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
63 |
60 |
$0.00 |
| 1036F |
|
136 |
127 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
189 |
176 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
160 |
148 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
119 |
112 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
246 |
230 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
248 |
232 |
$0.00 |
| 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) |
90 |
88 |
$0.00 |