| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,850 |
2,413 |
$296K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,427 |
3,327 |
$247K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,092 |
6,456 |
$220K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,473 |
2,871 |
$153K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,223 |
1,828 |
$150K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
3,885 |
3,310 |
$134K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
743 |
606 |
$99K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
614 |
536 |
$79K |
| 88313 |
|
2,908 |
2,421 |
$54K |
| 88312 |
|
1,409 |
1,153 |
$47K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,175 |
1,030 |
$43K |
| 88342 |
|
1,653 |
1,459 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
417 |
359 |
$22K |
| 47000 |
|
256 |
228 |
$21K |
| 43249 |
|
75 |
55 |
$13K |
| 99242 |
|
245 |
213 |
$12K |
| 76942 |
|
243 |
213 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
305 |
253 |
$9K |
| 43450 |
|
270 |
218 |
$5K |
| 99243 |
|
47 |
45 |
$4K |
| 87077 |
|
1,233 |
1,075 |
$3K |
| 88307 |
|
69 |
66 |
$3K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
14 |
13 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
15 |
15 |
$2K |
| 91200 |
|
55 |
50 |
$1K |
| 46221 |
|
13 |
12 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
82 |
54 |
$369.65 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
198 |
162 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
68 |
51 |
$0.00 |
| 1124F |
|
118 |
94 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
112 |
90 |
$0.00 |