| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,608 |
3,595 |
$382K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,450 |
5,155 |
$368K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,586 |
1,579 |
$231K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,714 |
4,570 |
$230K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
834 |
828 |
$199K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
741 |
736 |
$164K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
401 |
400 |
$111K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,270 |
1,270 |
$102K |
| 46221 |
|
259 |
216 |
$53K |
| 99223 |
Prolong inpt eval add15 m |
559 |
548 |
$31K |
| 99233 |
Prolong inpt eval add15 m |
548 |
196 |
$18K |
| 91200 |
|
349 |
349 |
$8K |
| 99153 |
Mod sedat endo service >5yrs |
808 |
802 |
$7K |
| 99152 |
|
462 |
450 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
232 |
104 |
$6K |
| 0012A |
|
14 |
13 |
$287.11 |
| 0011A |
|
19 |
17 |
$216.03 |
| 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) |
27 |
27 |
$67.69 |