| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13,791 |
10,119 |
$870K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,872 |
19,393 |
$610K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
9,567 |
7,050 |
$594K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
11,313 |
8,018 |
$307K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
3,747 |
2,742 |
$247K |
| 99233 |
Prolong inpt eval add15 m |
10,230 |
3,402 |
$195K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
1,747 |
1,221 |
$191K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,191 |
6,450 |
$144K |
| 99223 |
Prolong inpt eval add15 m |
2,067 |
1,345 |
$109K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,000 |
2,147 |
$105K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
693 |
592 |
$72K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
991 |
849 |
$49K |
| 99222 |
Initial hospital care, per day, moderate complexity |
175 |
137 |
$7K |
| 88342 |
|
227 |
187 |
$6K |
| 43251 |
|
50 |
45 |
$6K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
44 |
37 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
268 |
88 |
$2K |
| 91010 |
|
23 |
14 |
$2K |
| 99220 |
|
57 |
32 |
$2K |
| 88341 |
|
15 |
13 |
$346.27 |
| 91037 |
|
21 |
12 |
$236.76 |
| 3016F |
|
595 |
551 |
$48.57 |
| 96415 |
|
15 |
13 |
$41.68 |
| 1123F |
|
315 |
293 |
$0.41 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
7,444 |
6,602 |
$0.41 |
| G8482 |
Influenza immunization administered or previously received |
1,090 |
941 |
$0.41 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,903 |
1,695 |
$0.41 |
| 1036F |
|
5,466 |
4,870 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
585 |
537 |
$0.00 |
| 3017F |
|
4,057 |
3,665 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
348 |
314 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
189 |
176 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
14 |
12 |
$0.00 |
| 1124F |
|
1,534 |
1,414 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,180 |
1,952 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
2,448 |
2,194 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
840 |
773 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
520 |
482 |
$0.00 |
| 4004F |
|
863 |
737 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
14 |
12 |
$0.00 |