| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
7,430 |
6,062 |
$184K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,878 |
4,588 |
$154K |
| 99222 |
Initial hospital care, per day, moderate complexity |
4,745 |
3,968 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,546 |
4,184 |
$85K |
| 88342 |
|
3,294 |
2,406 |
$69K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,496 |
1,899 |
$54K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
6,710 |
3,417 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,794 |
2,982 |
$42K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,547 |
1,110 |
$39K |
| 88313 |
|
2,134 |
1,699 |
$37K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
390 |
258 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
692 |
585 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
612 |
407 |
$6K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
349 |
244 |
$5K |
| 43235 |
|
372 |
243 |
$3K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
69 |
52 |
$3K |
| 00731 |
|
422 |
258 |
$2K |
| 43248 |
|
29 |
26 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
129 |
106 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
37 |
24 |
$925.05 |
| 88341 |
|
14 |
12 |
$689.70 |
| 00811 |
|
250 |
155 |
$671.29 |
| 99221 |
|
28 |
26 |
$460.75 |
| 88312 |
|
12 |
12 |
$320.01 |
| 76981 |
|
39 |
31 |
$305.86 |
| 99219 |
|
13 |
13 |
$277.76 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
64 |
53 |
$225.91 |
| 43450 |
|
51 |
36 |
$199.08 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
306 |
214 |
$174.37 |
| 80053 |
Comprehensive metabolic panel |
186 |
139 |
$110.83 |
| 36415 |
Collection of venous blood by venipuncture |
661 |
567 |
$96.78 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$64.47 |
| 85027 |
|
123 |
63 |
$57.62 |
| 99457 |
|
448 |
267 |
$12.17 |
| 99453 |
|
44 |
25 |
$0.00 |
| 99490 |
Ccm add 20min |
421 |
276 |
$0.00 |
| 1159F |
|
21 |
12 |
$0.00 |
| 3078F |
|
25 |
13 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
16 |
15 |
$0.00 |
| 99487 |
Ccm add 20min |
81 |
49 |
$0.00 |
| 1160F |
|
21 |
12 |
$0.00 |
| 3077F |
|
19 |
12 |
$0.00 |
| 99439 |
|
262 |
164 |
$0.00 |
| 3074F |
|
22 |
12 |
$0.00 |
| 3008F |
|
62 |
34 |
$0.00 |
| 99458 |
|
179 |
99 |
$0.00 |
| 99454 |
|
161 |
89 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
19 |
18 |
$0.00 |
| 4010F |
|
32 |
19 |
$0.00 |
| 99489 |
Ccm add 20min |
80 |
49 |
$0.00 |