| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,872 |
4,724 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,725 |
3,555 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,106 |
2,098 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,328 |
1,307 |
$14K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,172 |
1,125 |
$13K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
528 |
503 |
$12K |
| 44361 |
|
619 |
600 |
$9K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
133 |
121 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
494 |
490 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
954 |
935 |
$2K |
| 44377 |
|
393 |
375 |
$776.70 |
| 1036F |
|
2,111 |
2,019 |
$87.52 |
| 46221 |
|
17 |
15 |
$69.36 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
3,380 |
3,323 |
$24.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,351 |
3,211 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
228 |
220 |
$0.00 |
| 3017F |
|
2,709 |
2,602 |
$0.00 |
| G9745 |
Documented reason for not screening or recommending a follow-up for high blood pressure |
1,956 |
1,934 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
110 |
108 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
484 |
454 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
433 |
409 |
$0.00 |
| G9908 |
Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
256 |
241 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
47 |
47 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,489 |
1,403 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
2,708 |
2,598 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
1,931 |
1,886 |
$0.00 |
| 4004F |
|
2,347 |
2,275 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
987 |
957 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
3,556 |
3,474 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,114 |
1,048 |
$0.00 |
| 43450 |
|
23 |
19 |
$0.00 |