| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,180 |
2,164 |
$560K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,669 |
2,634 |
$236K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,539 |
1,538 |
$184K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
705 |
694 |
$150K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
246 |
245 |
$88K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
441 |
425 |
$24K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
68 |
67 |
$19K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
114 |
112 |
$6K |
| 88312 |
|
14 |
14 |
$566.74 |
| 88313 |
|
14 |
14 |
$424.84 |
| 3074F |
|
70 |
70 |
$99.00 |
| 3078F |
|
60 |
60 |
$63.00 |
| 3017F |
|
1,035 |
976 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
932 |
866 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,827 |
1,724 |
$0.00 |
| 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) |
143 |
132 |
$0.00 |
| 1036F |
|
1,224 |
1,149 |
$0.00 |
| 99000 |
|
451 |
433 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,615 |
1,546 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
543 |
502 |
$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) |
392 |
377 |
$0.00 |