| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,578 |
17,144 |
$730K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,931 |
2,923 |
$601K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,239 |
1,218 |
$307K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,945 |
2,942 |
$196K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,498 |
5,182 |
$191K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,525 |
1,525 |
$76K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
283 |
282 |
$65K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
213 |
213 |
$57K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
135 |
135 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
953 |
800 |
$23K |
| 99051 |
|
4,307 |
4,118 |
$8K |
| 43259 |
|
12 |
12 |
$2K |
| 81025 |
|
33 |
32 |
$253.43 |
| 99072 |
|
350 |
241 |
$72.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,447 |
1,399 |
$37.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,721 |
1,658 |
$36.00 |
| 3008F |
|
4,235 |
4,013 |
$3.00 |
| 2000F |
|
4,042 |
3,810 |
$1.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
923 |
877 |
$1.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
340 |
334 |
$1.00 |
| 1000F |
|
64 |
63 |
$0.00 |
| 3074F |
|
2,825 |
2,702 |
$0.00 |
| 3075F |
|
694 |
687 |
$0.00 |
| 3017F |
|
1,673 |
1,665 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,856 |
1,751 |
$0.00 |
| 3079F |
|
907 |
886 |
$0.00 |
| 1036F |
|
58 |
57 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
58 |
57 |
$0.00 |
| 3080F |
|
27 |
27 |
$0.00 |
| 3078F |
|
3,075 |
2,940 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
57 |
57 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
371 |
365 |
$0.00 |
| 3077F |
|
591 |
577 |
$0.00 |
| 1159F |
|
70 |
69 |
$0.00 |