| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
14,285 |
12,644 |
$1.72M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,519 |
11,588 |
$916K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
9,000 |
7,100 |
$905K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
4,387 |
3,878 |
$773K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,315 |
4,015 |
$492K |
| 00731 |
|
3,155 |
2,950 |
$436K |
| 99223 |
Prolong inpt eval add15 m |
2,566 |
2,079 |
$232K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,078 |
1,009 |
$218K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,203 |
3,886 |
$206K |
| 43264 |
|
1,231 |
806 |
$173K |
| 00811 |
|
1,003 |
950 |
$143K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
574 |
521 |
$131K |
| 00812 |
|
778 |
759 |
$99K |
| 88312 |
|
3,067 |
2,589 |
$72K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
752 |
693 |
$57K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,165 |
613 |
$43K |
| 99222 |
Initial hospital care, per day, moderate complexity |
645 |
486 |
$43K |
| 43235 |
|
305 |
251 |
$27K |
| 99215 |
Prolong outpt/office vis |
212 |
201 |
$26K |
| 88313 |
|
1,206 |
1,009 |
$19K |
| 99205 |
Prolong outpt/office vis |
84 |
79 |
$13K |
| 43273 |
|
391 |
202 |
$11K |
| 99221 |
|
221 |
180 |
$10K |
| 99233 |
Prolong inpt eval add15 m |
134 |
66 |
$7K |
| 74328 |
|
500 |
374 |
$6K |
| 43274 |
|
90 |
14 |
$5K |
| 91200 |
|
235 |
220 |
$5K |
| 88342 |
|
135 |
79 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
62 |
$2K |
| 43262 |
|
19 |
12 |
$2K |
| 99152 |
|
32 |
31 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
74 |
28 |
$944.31 |
| 99153 |
Mod sedat endo service >5yrs |
13 |
13 |
$140.90 |
| 76981 |
|
19 |
17 |
$0.00 |