| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,010 |
1,996 |
$360K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,967 |
1,932 |
$78K |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
1,701 |
1,637 |
$77K |
| 99223 |
Prolong inpt eval add15 m |
637 |
633 |
$64K |
| 99253 |
|
1,012 |
998 |
$54K |
| 99254 |
|
485 |
484 |
$41K |
| 99243 |
|
474 |
469 |
$33K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
77 |
77 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
221 |
221 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
64 |
$9K |
| 43246 |
|
25 |
25 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
62 |
62 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
14 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
19 |
14 |
$442.26 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
49 |
49 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
867 |
845 |
$0.00 |
| G9612 |
Photodocumentation of two or more cecal landmarks to establish a complete examination |
79 |
78 |
$0.00 |
| 1123F |
|
15 |
15 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
685 |
665 |
$0.00 |
| 0528F |
|
105 |
105 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,010 |
985 |
$0.00 |