| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
17,496 |
16,995 |
$3.23M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,305 |
21,570 |
$2.62M |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
5,178 |
5,164 |
$1.17M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
6,274 |
6,258 |
$1.17M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,067 |
5,034 |
$915K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
2,484 |
2,480 |
$750K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,156 |
8,981 |
$743K |
| 00811 |
|
7,835 |
7,798 |
$500K |
| 00731 |
|
6,469 |
6,448 |
$419K |
| 88312 |
|
3,778 |
3,756 |
$361K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,660 |
1,639 |
$202K |
| 46221 |
|
221 |
166 |
$50K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
133 |
133 |
$44K |
| 99215 |
Prolong outpt/office vis |
116 |
107 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
633 |
616 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
97 |
95 |
$13K |
| 99243 |
|
102 |
102 |
$13K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
58 |
58 |
$11K |
| 88313 |
|
134 |
133 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
78 |
30 |
$6K |
| 91110 |
|
12 |
12 |
$6K |
| 00812 |
|
56 |
56 |
$5K |
| 76981 |
|
42 |
42 |
$4K |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
24 |
12 |
$1K |
| 99152 |
|
26 |
25 |
$918.98 |
| 91200 |
|
12 |
12 |
$436.09 |
| 99490 |
Ccm add 20min |
56 |
56 |
$192.78 |