| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,527 |
11,304 |
$497K |
| 99223 |
Prolong inpt eval add15 m |
5,226 |
5,118 |
$397K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
5,589 |
5,543 |
$347K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,070 |
4,066 |
$316K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
5,299 |
5,201 |
$230K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
1,891 |
1,883 |
$207K |
| 99233 |
Prolong inpt eval add15 m |
4,257 |
2,421 |
$200K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
2,568 |
2,559 |
$191K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,088 |
3,288 |
$178K |
| 88312 |
|
2,956 |
2,950 |
$170K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,518 |
6,387 |
$149K |
| 99439 |
|
2,809 |
2,808 |
$93K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,256 |
3,250 |
$90K |
| 88313 |
|
2,977 |
2,971 |
$84K |
| 99490 |
Ccm add 20min |
2,948 |
2,948 |
$79K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,187 |
1,175 |
$67K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
431 |
431 |
$56K |
| 99215 |
Prolong outpt/office vis |
786 |
766 |
$39K |
| 43235 |
|
457 |
442 |
$30K |
| 43246 |
|
166 |
163 |
$14K |
| 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) |
1,198 |
1,176 |
$11K |
| 99205 |
Prolong outpt/office vis |
124 |
124 |
$7K |
| 99454 |
|
159 |
148 |
$6K |
| 99442 |
|
69 |
68 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
267 |
145 |
$4K |
| 00811 |
|
41 |
41 |
$3K |
| 46221 |
|
14 |
12 |
$3K |
| 00731 |
|
39 |
39 |
$2K |
| 99457 |
|
63 |
63 |
$2K |
| 91200 |
|
28 |
28 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$652.63 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
31 |
$610.74 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$583.84 |
| 99072 |
|
60 |
60 |
$579.70 |
| 99152 |
|
266 |
266 |
$556.90 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
35 |
34 |
$531.93 |
| 99487 |
Ccm add 20min |
13 |
13 |
$508.87 |
| 99489 |
Ccm add 20min |
14 |
14 |
$137.26 |
| 99153 |
Mod sedat endo service >5yrs |
16 |
16 |
$2.11 |