| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
17,050 |
15,712 |
$1.70M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12,044 |
11,445 |
$1.54M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,383 |
25,955 |
$898K |
| 00731 |
|
9,613 |
9,277 |
$656K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
3,621 |
3,490 |
$612K |
| 88312 |
|
7,273 |
7,031 |
$422K |
| 00811 |
|
5,931 |
5,715 |
$404K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,100 |
4,848 |
$239K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
803 |
761 |
$125K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,806 |
3,374 |
$118K |
| 99254 |
|
1,537 |
1,488 |
$102K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
405 |
384 |
$82K |
| 43450 |
|
2,116 |
2,007 |
$60K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
729 |
701 |
$55K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,797 |
2,310 |
$52K |
| 88313 |
|
1,339 |
1,280 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
678 |
660 |
$40K |
| 99243 |
|
531 |
512 |
$28K |
| 46930 |
|
396 |
382 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
495 |
469 |
$18K |
| 00812 |
|
184 |
176 |
$12K |
| 99222 |
Initial hospital care, per day, moderate complexity |
450 |
410 |
$7K |
| 99215 |
Prolong outpt/office vis |
55 |
53 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
120 |
77 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
128 |
117 |
$3K |
| 99252 |
|
15 |
12 |
$437.99 |
| 99221 |
|
75 |
71 |
$218.90 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
203 |
175 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
49 |
42 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
20 |
16 |
$0.00 |
| 1036F |
|
20 |
16 |
$0.00 |
| 3017F |
|
15 |
12 |
$0.00 |