| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,119 |
1,090 |
$44K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
270 |
268 |
$40K |
| 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) |
713 |
700 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
411 |
409 |
$26K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
28 |
28 |
$7K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
26 |
26 |
$7K |
| 99442 |
|
113 |
110 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
168 |
41 |
$5K |
| 99153 |
Mod sedat endo service >5yrs |
408 |
397 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
45 |
42 |
$4K |