| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,446 |
2,223 |
$106K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
4,260 |
1,658 |
$69K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
507 |
470 |
$50K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,320 |
724 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
671 |
617 |
$37K |
| 99222 |
Initial hospital care, per day, moderate complexity |
497 |
440 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
348 |
314 |
$23K |
| 99215 |
Prolong outpt/office vis |
159 |
145 |
$17K |
| 99205 |
Prolong outpt/office vis |
126 |
113 |
$17K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
69 |
67 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
130 |
117 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
84 |
73 |
$2K |
| 99221 |
|
37 |
34 |
$2K |
| 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) |
386 |
347 |
$5.77 |
| 3074F |
|
501 |
457 |
$0.00 |
| 3079F |
|
196 |
171 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 3078F |
|
397 |
365 |
$0.00 |
| 3077F |
|
58 |
53 |
$0.00 |