| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,346 |
1,283 |
$115K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,102 |
1,963 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,694 |
1,609 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,880 |
2,708 |
$69K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,321 |
1,236 |
$53K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
89 |
88 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
191 |
184 |
$16K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
69 |
67 |
$10K |
| 99221 |
|
279 |
261 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
209 |
202 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
294 |
184 |
$4K |
| 88313 |
|
36 |
36 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
71 |
42 |
$2K |
| 88312 |
|
24 |
24 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
57 |
$1K |
| 99243 |
|
39 |
12 |
$953.16 |
| 99253 |
|
13 |
12 |
$736.23 |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
13 |
$586.96 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
4,026 |
3,913 |
$0.00 |
| 3017F |
|
1,507 |
1,468 |
$0.00 |
| 1036F |
|
1,653 |
1,613 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
273 |
270 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
52 |
52 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
134 |
132 |
$0.00 |
| 3074F |
|
49 |
49 |
$0.00 |
| 3079F |
|
27 |
27 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
3,991 |
3,889 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
189 |
187 |
$0.00 |
| 3078F |
|
33 |
33 |
$0.00 |