| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,326 |
9,633 |
$648K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,996 |
1,787 |
$173K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,200 |
2,049 |
$95K |
| 99222 |
Initial hospital care, per day, moderate complexity |
882 |
779 |
$64K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,580 |
1,121 |
$51K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
143 |
135 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
328 |
317 |
$20K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
115 |
105 |
$13K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
41 |
39 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
178 |
168 |
$5K |
| 43235 |
|
15 |
12 |
$852.46 |
| 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) |
246 |
221 |
$49.92 |
| 3008F |
|
45 |
40 |
$0.00 |