| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,485 |
4,306 |
$372K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,983 |
4,416 |
$154K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
955 |
843 |
$101K |
| 88312 |
|
2,771 |
2,679 |
$55K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
835 |
476 |
$15K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
72 |
66 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
91 |
81 |
$7K |
| 99255 |
|
17 |
15 |
$2K |
| 99254 |
|
16 |
15 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
30 |
$619.60 |
| 99222 |
Initial hospital care, per day, moderate complexity |
41 |
38 |
$81.00 |
| 96127 |
|
30 |
25 |
$11.10 |
| 00813 |
|
104 |
84 |
$0.00 |
| 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) |
13 |
13 |
$0.00 |
| 00811 |
|
222 |
177 |
$0.00 |
| 00731 |
|
430 |
340 |
$0.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
17 |
12 |
$0.00 |