| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,292 |
26,688 |
$1.72M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
10,608 |
8,499 |
$1.17M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
11,767 |
11,094 |
$974K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
4,996 |
4,938 |
$728K |
| 88342 |
|
6,248 |
5,077 |
$664K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,304 |
6,037 |
$543K |
| 88313 |
|
6,533 |
5,254 |
$483K |
| 99233 |
Prolong inpt eval add15 m |
7,115 |
4,255 |
$436K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
3,370 |
3,153 |
$432K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
1,614 |
1,549 |
$288K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,669 |
4,508 |
$208K |
| 99223 |
Prolong inpt eval add15 m |
1,527 |
1,409 |
$159K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,019 |
973 |
$150K |
| 99215 |
Prolong outpt/office vis |
1,316 |
1,262 |
$118K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,040 |
1,015 |
$63K |
| 99243 |
|
618 |
605 |
$62K |
| 99245 |
|
285 |
285 |
$54K |
| 99254 |
|
336 |
325 |
$43K |
| 99205 |
Prolong outpt/office vis |
112 |
111 |
$15K |
| 99442 |
|
187 |
184 |
$12K |
| 99443 |
|
56 |
56 |
$5K |
| 43235 |
|
71 |
69 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
51 |
41 |
$3K |
| 99354 |
|
42 |
37 |
$2K |
| 99439 |
|
122 |
122 |
$2K |
| G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk |
12 |
12 |
$1K |
| 99242 |
|
12 |
12 |
$883.77 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$564.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$507.80 |
| 99490 |
Ccm add 20min |
127 |
127 |
$382.02 |
| 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) |
49 |
49 |
$211.57 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
106 |
93 |
$0.00 |
| 88360 |
|
25 |
14 |
$0.00 |