| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
9,685 |
9,634 |
$710K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
9,517 |
9,359 |
$560K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,909 |
10,715 |
$546K |
| 99223 |
Prolong inpt eval add15 m |
4,804 |
4,530 |
$518K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
3,287 |
3,271 |
$462K |
| 99215 |
Prolong outpt/office vis |
5,737 |
5,469 |
$410K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
4,310 |
4,248 |
$396K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
3,428 |
3,366 |
$340K |
| 99205 |
Prolong outpt/office vis |
3,021 |
3,002 |
$282K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,726 |
2,026 |
$153K |
| 43235 |
|
2,475 |
2,397 |
$152K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,581 |
2,579 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,876 |
2,865 |
$98K |
| 99254 |
|
1,011 |
966 |
$90K |
| 99255 |
|
682 |
658 |
$74K |
| 43264 |
|
804 |
773 |
$66K |
| 43244 |
|
369 |
350 |
$50K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,720 |
1,018 |
$36K |
| 99233 |
Prolong inpt eval add15 m |
550 |
271 |
$33K |
| 43274 |
|
100 |
79 |
$20K |
| 43259 |
|
160 |
159 |
$15K |
| 99222 |
Initial hospital care, per day, moderate complexity |
213 |
208 |
$13K |
| 91200 |
|
1,337 |
1,334 |
$9K |
| 74328 |
|
520 |
506 |
$8K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
71 |
71 |
$6K |
| 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) |
1,426 |
1,417 |
$5K |
| 91010 |
|
94 |
94 |
$4K |
| 43247 |
|
14 |
14 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
149 |
141 |
$724.73 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
23 |
$495.48 |
| 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) |
442 |
430 |
$300.43 |
| 99153 |
Mod sedat endo service >5yrs |
284 |
269 |
$54.65 |
| 3044F |
|
25 |
24 |
$0.00 |
| 3074F |
|
31 |
31 |
$0.00 |
| 3078F |
|
31 |
31 |
$0.00 |