| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
3,641 |
3,516 |
$409K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,341 |
7,904 |
$341K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,831 |
1,741 |
$209K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,550 |
1,549 |
$164K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
1,261 |
1,225 |
$144K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,455 |
1,395 |
$82K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,420 |
1,883 |
$74K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,387 |
1,301 |
$65K |
| 99243 |
|
788 |
788 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,741 |
1,665 |
$51K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
843 |
778 |
$32K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,060 |
966 |
$23K |
| 99242 |
|
305 |
304 |
$23K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
610 |
591 |
$15K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,573 |
495 |
$15K |
| 99253 |
|
94 |
91 |
$6K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
35 |
28 |
$4K |