| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,546 |
5,069 |
$212K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,425 |
3,107 |
$200K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,809 |
1,671 |
$77K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
611 |
586 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
338 |
299 |
$40K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
116 |
103 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
591 |
378 |
$9K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
123 |
118 |
$7K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
383 |
377 |
$5K |
| 99243 |
|
65 |
65 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
117 |
101 |
$5K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
28 |
28 |
$3K |
| 00731 |
|
12 |
12 |
$0.00 |
| 88312 |
|
14 |
13 |
$0.00 |
| S0285 |
Colonoscopy consultation performed prior to a screening colonoscopy procedure |
14 |
12 |
$0.00 |