| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
43,662 |
23,260 |
$2.79M |
| 99222 |
Initial hospital care, per day, moderate complexity |
25,839 |
22,853 |
$2.11M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12,742 |
10,914 |
$1.02M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,331 |
10,217 |
$709K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,318 |
4,823 |
$546K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
2,371 |
2,141 |
$391K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,389 |
6,235 |
$375K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,383 |
7,502 |
$338K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,479 |
4,079 |
$260K |
| 99254 |
|
797 |
743 |
$101K |
| 43237 |
|
876 |
746 |
$100K |
| 43235 |
|
953 |
830 |
$79K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
486 |
394 |
$75K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
144 |
129 |
$29K |
| 99221 |
|
651 |
552 |
$28K |
| 99223 |
Prolong inpt eval add15 m |
252 |
203 |
$21K |
| 43242 |
|
98 |
84 |
$12K |
| 43262 |
|
47 |
39 |
$6K |
| 43274 |
|
16 |
13 |
$5K |
| 91200 |
|
80 |
65 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
16 |
12 |
$162.60 |
| 1036F |
|
71 |
39 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
52 |
27 |
$0.00 |
| 1111F |
|
58 |
15 |
$0.00 |
| 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) |
52 |
27 |
$0.00 |
| G9691 |
Patient had hospice services any time during the measurement period |
26 |
15 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
88 |
52 |
$0.00 |
| 4004F |
|
137 |
27 |
$0.00 |