| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
1,310 |
1,192 |
$268K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,099 |
2,015 |
$247K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,573 |
5,174 |
$167K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,996 |
1,805 |
$87K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
670 |
584 |
$68K |
| 43235 |
|
425 |
386 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
708 |
622 |
$38K |
| 99442 |
|
932 |
834 |
$33K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
565 |
178 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
514 |
466 |
$11K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
56 |
52 |
$7K |
| 99443 |
|
126 |
112 |
$5K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
27 |
25 |
$4K |
| 99243 |
|
41 |
39 |
$4K |
| 99254 |
|
26 |
25 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$323.16 |
| 99423 |
|
12 |
12 |
$296.90 |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$276.76 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
779 |
702 |
$0.08 |
| 1036F |
|
1,306 |
1,135 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
424 |
375 |
$0.00 |
| 3017F |
|
899 |
779 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
805 |
695 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
35 |
27 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
878 |
776 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
507 |
446 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,404 |
1,230 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,937 |
1,685 |
$0.00 |
| 4004F |
|
612 |
535 |
$0.00 |
| 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) |
16 |
14 |
$0.00 |