| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
13,286 |
12,809 |
$1.11M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,285 |
12,702 |
$661K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
3,625 |
3,468 |
$345K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,098 |
7,693 |
$259K |
| 88312 |
|
4,130 |
4,019 |
$237K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
10,559 |
4,987 |
$230K |
| 99254 |
|
2,067 |
1,974 |
$140K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,685 |
1,646 |
$125K |
| 88342 |
|
1,481 |
1,387 |
$99K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
928 |
877 |
$64K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
171 |
163 |
$24K |
| 00731 |
|
310 |
290 |
$21K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
94 |
88 |
$20K |
| 99255 |
|
165 |
160 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
661 |
622 |
$13K |
| 00811 |
|
188 |
177 |
$11K |
| 88313 |
|
232 |
207 |
$10K |
| 99233 |
Prolong inpt eval add15 m |
272 |
149 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
187 |
166 |
$5K |
| 99245 |
|
26 |
26 |
$3K |
| 99442 |
|
99 |
93 |
$2K |
| 43235 |
|
25 |
25 |
$2K |
| 99243 |
|
24 |
24 |
$1K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
14 |
14 |
$1K |
| 99441 |
|
102 |
95 |
$1K |
| 91200 |
|
48 |
45 |
$988.52 |
| 99223 |
Prolong inpt eval add15 m |
27 |
25 |
$855.58 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
47 |
28 |
$782.51 |
| 99253 |
|
12 |
12 |
$566.35 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$447.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$165.34 |