| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
780 |
736 |
$139K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,945 |
2,243 |
$138K |
| 99223 |
Prolong inpt eval add15 m |
928 |
894 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,634 |
1,438 |
$45K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
102 |
93 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
287 |
265 |
$11K |
| 99254 |
|
124 |
120 |
$8K |
| 99221 |
|
187 |
167 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
126 |
115 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
149 |
125 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
43 |
40 |
$3K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
245 |
229 |
$0.00 |
| 3017F |
|
138 |
123 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
25 |
22 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
20 |
19 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
20 |
19 |
$0.00 |