| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,500 |
15,907 |
$902K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
5,089 |
4,744 |
$409K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,174 |
3,059 |
$351K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
2,582 |
2,390 |
$314K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,359 |
3,191 |
$284K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,689 |
1,539 |
$219K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,024 |
3,774 |
$154K |
| 88313 |
|
1,816 |
1,765 |
$146K |
| 88312 |
|
1,698 |
1,650 |
$137K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
624 |
569 |
$78K |
| 99223 |
Prolong inpt eval add15 m |
560 |
522 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
757 |
733 |
$48K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,942 |
1,862 |
$25K |
| 99442 |
|
352 |
340 |
$18K |
| 99254 |
|
111 |
96 |
$14K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
83 |
71 |
$13K |
| 99243 |
|
86 |
86 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
114 |
80 |
$6K |
| 99215 |
Prolong outpt/office vis |
77 |
74 |
$5K |
| 43259 |
|
77 |
40 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
59 |
56 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
110 |
110 |
$4K |
| 88342 |
|
48 |
47 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
93 |
91 |
$2K |
| S0285 |
Colonoscopy consultation performed prior to a screening colonoscopy procedure |
12 |
12 |
$2K |
| 43235 |
|
14 |
12 |
$1K |
| 99242 |
|
12 |
12 |
$893.28 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
519 |
477 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
63 |
60 |
$0.00 |