| Code | Description | Claims | Beneficiaries | Total Paid |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
1,477 |
1,466 |
$468K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,774 |
3,768 |
$304K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,362 |
1,352 |
$219K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,998 |
3,930 |
$152K |
| 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) |
3,403 |
3,289 |
$150K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,105 |
4,041 |
$96K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
930 |
930 |
$96K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
894 |
885 |
$96K |
| 95144 |
|
2,132 |
1,253 |
$59K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
101 |
101 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
324 |
324 |
$19K |
| 95117 |
|
1,592 |
1,003 |
$17K |
| 45388 |
|
76 |
76 |
$16K |
| 95024 |
|
353 |
352 |
$16K |
| 44361 |
|
90 |
89 |
$13K |
| 99153 |
Mod sedat endo service >5yrs |
684 |
678 |
$7K |
| 99254 |
|
64 |
64 |
$4K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
135 |
80 |
$3K |
| 96401 |
|
143 |
127 |
$3K |
| 94010 |
|
55 |
55 |
$2K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
27 |
27 |
$126.10 |
| 1036F |
|
507 |
494 |
$0.00 |