| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,500 |
2,078 |
$15K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
68 |
66 |
$6K |
| 99215 |
Prolong outpt/office vis |
161 |
146 |
$4K |
| 99205 |
Prolong outpt/office vis |
28 |
28 |
$1K |
| 96367 |
|
73 |
39 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
14 |
$732.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131 |
113 |
$537.19 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
24 |
13 |
$232.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
80 |
40 |
$146.27 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
81 |
40 |
$144.00 |
| 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) |
13 |
12 |
$13.88 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14 |
13 |
$0.00 |