| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,191 |
1,078 |
$215K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,995 |
4,607 |
$170K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,438 |
1,376 |
$153K |
| 88312 |
|
688 |
637 |
$109K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,192 |
1,116 |
$85K |
| 88313 |
|
688 |
637 |
$83K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
364 |
348 |
$64K |
| 99223 |
Prolong inpt eval add15 m |
121 |
116 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
286 |
283 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
101 |
42 |
$2K |
| 78268 |
|
31 |
27 |
$2K |
| 43249 |
|
13 |
12 |
$840.65 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$219.81 |
| 78267 |
|
31 |
27 |
$213.67 |
| G8913 |
Patient documented not to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event |
438 |
397 |
$0.01 |
| G8911 |
Patient documented not to have experienced a fall within ambulatory surgical center |
438 |
397 |
$0.01 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
438 |
397 |
$0.01 |
| G8909 |
Patient documented not to have received a burn prior to discharge |
438 |
397 |
$0.01 |
| G8915 |
Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from asc |
438 |
397 |
$0.01 |
| 1124F |
|
45 |
43 |
$0.00 |
| 4040F |
|
63 |
61 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
908 |
888 |
$0.00 |
| 3288F |
|
96 |
82 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
269 |
265 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
260 |
255 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
286 |
278 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
174 |
170 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
355 |
347 |
$0.00 |
| 3017F |
|
380 |
374 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
678 |
664 |
$0.00 |
| 1111F |
|
310 |
308 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
383 |
376 |
$0.00 |
| 1123F |
|
79 |
78 |
$0.00 |
| G9612 |
Photodocumentation of two or more cecal landmarks to establish a complete examination |
62 |
61 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
14 |
14 |
$0.00 |