| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
517 |
506 |
$127K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,691 |
1,686 |
$119K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
857 |
847 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,235 |
2,198 |
$77K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
561 |
554 |
$27K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
45 |
45 |
$17K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
27 |
27 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
189 |
185 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
38 |
38 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,486 |
4,391 |
$941.60 |
| 1111F |
|
1,625 |
1,591 |
$93.12 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
4,301 |
4,216 |
$81.40 |
| 3017F |
|
2,705 |
2,659 |
$65.68 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,285 |
4,203 |
$0.00 |
| G9612 |
Photodocumentation of two or more cecal landmarks to establish a complete examination |
631 |
625 |
$0.00 |
| G8542 |
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required |
1,599 |
1,549 |
$0.00 |
| 1036F |
|
245 |
239 |
$0.00 |
| G8942 |
Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment |
687 |
675 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
1,606 |
1,572 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,129 |
3,048 |
$0.00 |
| 0528F |
|
26 |
26 |
$0.00 |