| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
895 |
894 |
$195K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,130 |
1,109 |
$191K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,290 |
2,245 |
$188K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,507 |
2,507 |
$186K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,486 |
2,391 |
$127K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
493 |
493 |
$53K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
26 |
26 |
$5K |
| 45384 |
|
13 |
13 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
92 |
90 |
$2K |
| 99001 |
|
419 |
408 |
$3.34 |
| G9612 |
Photodocumentation of two or more cecal landmarks to establish a complete examination |
322 |
321 |
$0.00 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
118 |
111 |
$0.00 |
| 3017F |
|
1,051 |
1,033 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,570 |
2,507 |
$0.00 |
| 3288F |
|
942 |
930 |
$0.00 |
| G9613 |
Documentation of post-surgical anatomy (e.g., right hemicolectomy, ileocecal resection, etc.) |
15 |
15 |
$0.00 |