| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,713 |
3,820 |
$502K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,565 |
6,061 |
$330K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
686 |
559 |
$68K |
| 88342 |
|
537 |
415 |
$28K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
172 |
137 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
371 |
293 |
$11K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
200 |
77 |
$7K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
16 |
12 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
26 |
26 |
$68.42 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
398 |
385 |
$0.00 |
| G8541 |
Functional outcome assessment using a standardized tool not documented, reason not given |
144 |
134 |
$0.00 |
| 3017F |
|
1,569 |
1,530 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
37 |
37 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13 |
13 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
12 |
12 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
15 |
15 |
$0.00 |
| 1036F |
|
14 |
12 |
$0.00 |