| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
4,730 |
4,264 |
$788K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
12,712 |
5,332 |
$157K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,128 |
1,981 |
$136K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,533 |
3,259 |
$136K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
651 |
582 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,446 |
5,828 |
$129K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
349 |
315 |
$90K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,396 |
2,091 |
$80K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
166 |
151 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
227 |
209 |
$9K |
| 43248 |
|
120 |
104 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
262 |
150 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$440.12 |
| 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) |
79 |
73 |
$87.64 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
454 |
418 |
$0.00 |
| 1036F |
|
364 |
333 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
172 |
151 |
$0.00 |
| 3017F |
|
92 |
74 |
$0.00 |