| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
18,167 |
17,815 |
$1.82M |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
398 |
262 |
$1.05M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,603 |
7,276 |
$427K |
| J3380 |
Injection, vedolizumab, intravenous, 1 mg |
65 |
57 |
$399K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,132 |
6,825 |
$299K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,151 |
2,080 |
$199K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,727 |
2,660 |
$171K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,561 |
1,379 |
$125K |
| 00731 |
|
920 |
836 |
$108K |
| 88342 |
|
1,457 |
1,291 |
$92K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,314 |
1,278 |
$90K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,994 |
2,261 |
$79K |
| 00811 |
|
806 |
694 |
$78K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
649 |
632 |
$64K |
| Q5103 |
Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg |
15 |
12 |
$30K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
683 |
470 |
$29K |
| 99254 |
|
132 |
128 |
$16K |
| 96415 |
|
357 |
301 |
$10K |
| 80053 |
Comprehensive metabolic panel |
669 |
620 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
2,006 |
1,846 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
613 |
568 |
$6K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
36 |
36 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
59 |
$4K |
| 99253 |
|
40 |
39 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$778.58 |
| 99221 |
|
13 |
13 |
$719.86 |
| 83516 |
|
54 |
40 |
$669.95 |
| 86140 |
|
91 |
88 |
$632.93 |
| 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) |
30 |
28 |
$16.12 |