| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
4,779 |
4,764 |
$578K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
2,660 |
2,641 |
$517K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
18,099 |
6,988 |
$489K |
| 99253 |
|
10,416 |
10,223 |
$474K |
| 99233 |
Prolong inpt eval add15 m |
8,470 |
4,392 |
$333K |
| 99223 |
Prolong inpt eval add15 m |
5,171 |
5,051 |
$273K |
| 43246 |
|
1,653 |
1,562 |
$164K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
816 |
796 |
$151K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,049 |
4,048 |
$144K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,681 |
8,647 |
$141K |
| 43235 |
|
256 |
245 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
110 |
110 |
$5K |
| 43274 |
|
12 |
12 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
60 |
60 |
$4K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
12 |
12 |
$3K |
| 43244 |
|
12 |
12 |
$2K |
| 43264 |
|
13 |
13 |
$1K |
| 3074F |
|
3,819 |
3,810 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
50 |
17 |
$989.55 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,962 |
1,961 |
$572.09 |
| 3078F |
|
3,728 |
3,719 |
$534.58 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,688 |
1,685 |
$451.91 |
| 3079F |
|
1,441 |
1,438 |
$294.56 |
| 3075F |
|
823 |
823 |
$281.35 |
| 3077F |
|
1,016 |
1,014 |
$277.01 |
| 99251 |
|
12 |
12 |
$219.37 |
| 3080F |
|
635 |
633 |
$121.72 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
54 |
54 |
$19.01 |
| 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) |
12 |
12 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
27 |
26 |
$0.00 |
| G9691 |
Patient had hospice services any time during the measurement period |
40 |
39 |
$0.00 |