| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
30,034 |
26,664 |
$3.84M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62,555 |
53,893 |
$2.47M |
| 88313 |
|
17,577 |
15,612 |
$1.26M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
21,055 |
18,878 |
$933K |
| 88342 |
|
15,923 |
14,184 |
$773K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,981 |
12,617 |
$428K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
4,905 |
4,391 |
$407K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,201 |
6,116 |
$293K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,049 |
3,377 |
$266K |
| 00813 |
|
3,316 |
2,999 |
$239K |
| 00731 |
|
3,614 |
3,146 |
$210K |
| 00811 |
|
3,001 |
2,777 |
$170K |
| 88312 |
|
2,838 |
2,756 |
$169K |
| 00812 |
|
2,200 |
2,036 |
$126K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,907 |
3,722 |
$125K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
1,131 |
977 |
$120K |
| 99254 |
|
780 |
620 |
$53K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
316 |
300 |
$36K |
| 99233 |
Prolong inpt eval add15 m |
1,255 |
541 |
$36K |
| 99215 |
Prolong outpt/office vis |
811 |
734 |
$35K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
320 |
279 |
$28K |
| 99243 |
|
171 |
144 |
$11K |
| 91065 |
|
729 |
658 |
$5K |
| 99242 |
|
89 |
80 |
$4K |
| 99443 |
|
137 |
89 |
$4K |
| 99253 |
|
40 |
34 |
$2K |
| 76981 |
|
63 |
51 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
119 |
69 |
$1K |
| 45384 |
|
12 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
38 |
26 |
$874.98 |
| 99442 |
|
38 |
25 |
$613.92 |
| 91200 |
|
47 |
40 |
$595.60 |
| 99222 |
Initial hospital care, per day, moderate complexity |
164 |
139 |
$323.12 |
| 99441 |
|
12 |
12 |
$51.20 |
| 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) |
12 |
12 |
$13.00 |