| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
4,482 |
4,474 |
$1.05M |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
2,081 |
2,037 |
$531K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,991 |
6,503 |
$481K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,006 |
1,006 |
$115K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
153 |
153 |
$49K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
112 |
112 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
656 |
634 |
$28K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
45 |
44 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
166 |
149 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
44 |
$2K |
| 99051 |
|
860 |
826 |
$2K |
| 81025 |
|
58 |
57 |
$436.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
172 |
166 |
$264.80 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
241 |
229 |
$29.05 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
263 |
256 |
$24.05 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
14 |
12 |
$6.00 |
| 3008F |
|
2,134 |
1,906 |
$0.00 |
| 3017F |
|
774 |
773 |
$0.00 |
| 3075F |
|
358 |
345 |
$0.00 |
| 2000F |
|
2,073 |
1,847 |
$0.00 |
| 3074F |
|
1,251 |
1,166 |
$0.00 |
| 3079F |
|
459 |
442 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
589 |
533 |
$0.00 |
| 3080F |
|
57 |
54 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
300 |
265 |
$0.00 |
| 3077F |
|
430 |
406 |
$0.00 |
| 3078F |
|
1,467 |
1,343 |
$0.00 |
| 99072 |
|
42 |
34 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
39 |
39 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
12 |
12 |
$0.00 |