| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,568 |
5,674 |
$233K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,496 |
2,187 |
$125K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,330 |
1,090 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,001 |
3,506 |
$117K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,525 |
1,178 |
$82K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,557 |
1,392 |
$82K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
151 |
134 |
$36K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,320 |
2,840 |
$23K |
| 99222 |
Initial hospital care, per day, moderate complexity |
409 |
314 |
$17K |
| 93000 |
|
1,385 |
1,205 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
589 |
481 |
$13K |
| 20610 |
|
355 |
303 |
$12K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
75 |
66 |
$11K |
| 73560 |
|
591 |
503 |
$9K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
13 |
13 |
$3K |
| 99205 |
Prolong outpt/office vis |
30 |
26 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
31 |
24 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
324 |
286 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
116 |
67 |
$2K |
| 43235 |
|
13 |
12 |
$1K |
| 73030 |
|
78 |
65 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
37 |
16 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
13 |
$1K |
| 99215 |
Prolong outpt/office vis |
20 |
12 |
$896.27 |
| 93356 |
|
154 |
130 |
$873.54 |
| 43450 |
|
51 |
37 |
$826.83 |
| 73610 |
|
40 |
28 |
$688.01 |
| 99441 |
|
42 |
28 |
$586.34 |
| 73501 |
|
28 |
24 |
$298.07 |
| 73130 |
|
15 |
13 |
$270.98 |
| 93228 |
|
17 |
15 |
$231.27 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
27 |
21 |
$127.41 |
| 98966 |
|
21 |
13 |
$83.92 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
119 |
107 |
$0.00 |
| 4044F |
|
134 |
83 |
$0.00 |
| G8599 |
Aspirin or another antiplatelet therapy not used, reason not given |
178 |
166 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
67 |
59 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
426 |
315 |
$0.00 |
| 3017F |
|
174 |
117 |
$0.00 |
| 99024 |
|
262 |
187 |
$0.00 |
| 1036F |
|
406 |
341 |
$0.00 |
| 4086F |
|
939 |
850 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
408 |
222 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
69 |
59 |
$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) |
39 |
38 |
$0.00 |
| 4010F |
|
36 |
34 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
526 |
464 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,260 |
867 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,311 |
3,133 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
498 |
321 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,317 |
971 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
252 |
154 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
147 |
105 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
188 |
169 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
58 |
47 |
$0.00 |
| 4004F |
|
265 |
218 |
$0.00 |
| 4040F |
|
174 |
129 |
$0.00 |