| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,723 |
2,656 |
$160K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
179 |
179 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
310 |
310 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
331 |
307 |
$4K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| A4550 |
Surgical trays |
288 |
284 |
$175.00 |
| 1126F |
|
93 |
93 |
$0.00 |
| 3008F |
|
29 |
29 |
$0.00 |
| 1125F |
|
37 |
37 |
$0.00 |
| 1036F |
|
60 |
60 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 3074F |
|
26 |
26 |
$0.00 |
| 1159F |
|
116 |
116 |
$0.00 |
| 1033F |
|
34 |
34 |
$0.00 |
| 1160F |
|
166 |
166 |
$0.00 |
| 3078F |
|
26 |
26 |
$0.00 |