| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
8,586 |
8,331 |
$1.69M |
| 99243 |
|
5,358 |
5,345 |
$724K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
2,088 |
1,996 |
$653K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
2,283 |
2,197 |
$584K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
9,477 |
9,125 |
$500K |
| 88313 |
|
4,538 |
4,447 |
$413K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,403 |
6,244 |
$365K |
| 88312 |
|
3,953 |
3,877 |
$282K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,094 |
1,091 |
$211K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,696 |
2,617 |
$200K |
| 99442 |
|
1,210 |
1,164 |
$88K |
| 99253 |
|
501 |
488 |
$52K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
164 |
162 |
$38K |
| 99443 |
|
381 |
358 |
$36K |
| 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) |
13,879 |
13,036 |
$35K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
105 |
100 |
$25K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
971 |
948 |
$18K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
626 |
409 |
$14K |
| 43248 |
|
165 |
160 |
$14K |
| 43235 |
|
73 |
69 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
207 |
197 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
92 |
65 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
38 |
25 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
136 |
118 |
$2K |
| 99242 |
|
12 |
12 |
$1K |
| 91200 |
|
39 |
38 |
$476.13 |