| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
693 |
690 |
$91K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,950 |
827 |
$75K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
915 |
893 |
$75K |
| 99223 |
Prolong inpt eval add15 m |
711 |
683 |
$72K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,056 |
1,046 |
$62K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
659 |
656 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
649 |
646 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,001 |
985 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
622 |
596 |
$34K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
294 |
292 |
$29K |
| 43235 |
|
475 |
472 |
$27K |
| 99233 |
Prolong inpt eval add15 m |
182 |
144 |
$10K |
| 43450 |
|
54 |
54 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
28 |
16 |
$826.91 |
| 00811 |
|
17 |
15 |
$389.60 |
| 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) |
78 |
71 |
$337.09 |
| 00731 |
|
12 |
12 |
$324.88 |
| 99153 |
Mod sedat endo service >5yrs |
28 |
28 |
$4.12 |
| 99152 |
|
33 |
32 |
$0.00 |