| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
298 |
277 |
$26K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
41 |
40 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
37 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
13 |
$923.00 |
| 43450 |
|
14 |
14 |
$497.84 |
| 74022 |
|
16 |
15 |
$407.00 |
| 74018 |
|
16 |
13 |
$122.29 |
| 85610 |
|
13 |
12 |
$40.00 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
24 |
$36.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
1,287 |
970 |
$0.00 |
| G9279 |
Pneumococcal screening performed and documentation of vaccination received prior to discharge |
13 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
711 |
602 |
$0.00 |
| G9968 |
Patient was referred to another clinician or specialist during the measurement period |
64 |
61 |
$0.00 |
| 99080 |
|
165 |
78 |
$0.00 |
| G9458 |
Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user |
13 |
12 |
$0.00 |
| 4040F |
|
27 |
24 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
595 |
554 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
326 |
309 |
$0.00 |
| G9969 |
Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred |
64 |
61 |
$0.00 |