| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,044 |
5,661 |
$450K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
6,305 |
5,583 |
$442K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,396 |
1,286 |
$189K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,660 |
2,522 |
$110K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
476 |
436 |
$43K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
229 |
207 |
$34K |
| 00731 |
|
241 |
214 |
$24K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
89 |
78 |
$22K |
| 99215 |
Prolong outpt/office vis |
92 |
89 |
$9K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
55 |
41 |
$8K |
| 99205 |
Prolong outpt/office vis |
31 |
31 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
84 |
28 |
$5K |
| 00812 |
|
41 |
40 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
44 |
28 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
26 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
16 |
14 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
12 |
$2K |
| 76981 |
|
15 |
15 |
$2K |
| 00813 |
|
13 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
47 |
$1K |
| 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) |
103 |
96 |
$71.19 |