| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,098 |
2,654 |
$103K |
| 99223 |
Prolong inpt eval add15 m |
967 |
798 |
$67K |
| 99233 |
Prolong inpt eval add15 m |
2,027 |
604 |
$63K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,708 |
1,498 |
$56K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
743 |
671 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
684 |
611 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
339 |
301 |
$25K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,132 |
414 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
300 |
286 |
$18K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
55 |
53 |
$10K |
| 45384 |
|
15 |
14 |
$1K |
| 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) |
225 |
196 |
$28.55 |