| Code | Description | Claims | Beneficiaries | Total Paid |
| 0012A |
|
4,325 |
4,293 |
$155K |
| 0011A |
|
4,077 |
4,058 |
$128K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
355 |
170 |
$68K |
| 0064A |
|
1,341 |
1,308 |
$49K |
| 0002A |
|
1,190 |
1,104 |
$42K |
| 90480 |
|
1,082 |
943 |
$35K |
| 0001A |
|
938 |
881 |
$33K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
169 |
165 |
$25K |
| 0071A |
|
665 |
647 |
$25K |
| 0134A |
|
620 |
548 |
$22K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
609 |
526 |
$22K |
| 0072A |
|
585 |
580 |
$22K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
83 |
79 |
$21K |
| H0031 |
Mental health assessment, by non-physician |
357 |
286 |
$20K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
87 |
83 |
$14K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
96 |
43 |
$12K |
| 0004A |
|
297 |
291 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
139 |
116 |
$6K |
| 0124A |
|
96 |
83 |
$4K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
18 |
18 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
394 |
256 |
$3K |
| 0111A |
|
55 |
54 |
$2K |
| 90686 |
|
78 |
40 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
17 |
13 |
$694.00 |
| 0144A |
|
16 |
13 |
$607.08 |
| 0013A |
|
22 |
15 |
$360.00 |
| 91322 |
|
100 |
99 |
$0.29 |
| 91321 |
|
89 |
88 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
156 |
132 |
$0.00 |