| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
6,166 |
6,155 |
$520K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,094 |
6,006 |
$508K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,683 |
2,677 |
$359K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,604 |
2,540 |
$210K |
| 99215 |
Prolong outpt/office vis |
1,222 |
1,207 |
$115K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
530 |
520 |
$93K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
562 |
555 |
$68K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
315 |
315 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
884 |
879 |
$52K |
| 99205 |
Prolong outpt/office vis |
281 |
281 |
$44K |
| 00813 |
|
216 |
216 |
$31K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
198 |
182 |
$28K |
| 99233 |
Prolong inpt eval add15 m |
374 |
254 |
$26K |
| 88313 |
|
471 |
471 |
$25K |
| 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) |
824 |
812 |
$25K |
| 88312 |
|
460 |
460 |
$20K |
| 00731 |
|
113 |
113 |
$13K |
| 00811 |
|
96 |
96 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
63 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
69 |
69 |
$5K |
| 99153 |
Mod sedat endo service >5yrs |
183 |
180 |
$3K |
| 43235 |
|
36 |
36 |
$2K |
| 91200 |
|
28 |
28 |
$781.07 |