| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
5,794 |
5,722 |
$1.13M |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,707 |
1,687 |
$465K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,090 |
11,014 |
$418K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,747 |
3,607 |
$257K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,256 |
4,244 |
$255K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
823 |
811 |
$206K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,042 |
2,040 |
$199K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
362 |
354 |
$105K |
| 99243 |
|
1,160 |
1,154 |
$80K |
| 88312 |
|
2,199 |
2,183 |
$72K |
| 99222 |
Initial hospital care, per day, moderate complexity |
533 |
533 |
$41K |
| 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) |
817 |
815 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
152 |
152 |
$6K |