| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
955 |
923 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,423 |
1,342 |
$110K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
581 |
556 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
304 |
286 |
$16K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
123 |
117 |
$13K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
113 |
111 |
$8K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
50 |
48 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
88 |
81 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
43 |
40 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
18 |
16 |
$2K |
| 99205 |
Prolong outpt/office vis |
14 |
13 |
$2K |
| 99215 |
Prolong outpt/office vis |
19 |
16 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
89 |
87 |
$2K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
12 |
12 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
31 |
31 |
$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) |
102 |
100 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
17 |
12 |
$946.30 |
| 99072 |
|
15 |
15 |
$73.50 |