| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,157 |
3,505 |
$122K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
764 |
666 |
$75K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,358 |
687 |
$38K |
| 99152 |
|
600 |
489 |
$15K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
156 |
130 |
$13K |
| 99219 |
|
347 |
311 |
$12K |
| 43235 |
|
171 |
135 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
431 |
362 |
$9K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,557 |
2,121 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
200 |
167 |
$8K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
61 |
55 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
243 |
204 |
$6K |
| 99217 |
|
199 |
171 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
30 |
28 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
27 |
$939.58 |
| 99205 |
Prolong outpt/office vis |
14 |
12 |
$859.58 |
| 99225 |
|
35 |
12 |
$595.99 |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
28 |
27 |
$554.38 |
| 99442 |
|
14 |
12 |
$318.82 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
13 |
13 |
$102.71 |
| 3045F |
|
58 |
46 |
$60.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
45 |
40 |
$0.00 |
| 1036F |
|
269 |
226 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
459 |
383 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
62 |
55 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 3008F |
|
17 |
17 |
$0.00 |
| 3017F |
|
394 |
342 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
93 |
84 |
$0.00 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
676 |
550 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
229 |
206 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
429 |
354 |
$0.00 |
| 4004F |
|
163 |
141 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
185 |
146 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
488 |
415 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
23 |
$0.00 |