| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,810 |
2,807 |
$258K |
| 99223 |
Prolong inpt eval add15 m |
2,489 |
2,394 |
$251K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,585 |
3,556 |
$235K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
1,384 |
1,383 |
$192K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,648 |
2,637 |
$162K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,003 |
999 |
$88K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,683 |
1,058 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,261 |
1,245 |
$55K |
| 99222 |
Initial hospital care, per day, moderate complexity |
692 |
678 |
$50K |
| 43235 |
|
797 |
788 |
$47K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
321 |
316 |
$32K |
| 99215 |
Prolong outpt/office vis |
360 |
349 |
$28K |
| 99205 |
Prolong outpt/office vis |
196 |
196 |
$20K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
393 |
285 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
92 |
58 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
71 |
71 |
$4K |
| 99255 |
|
12 |
12 |
$1K |
| 99490 |
Ccm add 20min |
17 |
17 |
$513.10 |