| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,091 |
24,200 |
$2.51M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,277 |
28,150 |
$1.85M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,235 |
2,218 |
$225K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,005 |
1,696 |
$216K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,328 |
1,307 |
$201K |
| 99233 |
Prolong inpt eval add15 m |
3,738 |
1,915 |
$188K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
954 |
948 |
$143K |
| 99205 |
Prolong outpt/office vis |
677 |
665 |
$111K |
| 99255 |
|
879 |
876 |
$106K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
556 |
555 |
$64K |
| 99223 |
Prolong inpt eval add15 m |
729 |
705 |
$57K |
| 99215 |
Prolong outpt/office vis |
503 |
486 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,060 |
999 |
$45K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
522 |
496 |
$29K |
| 46221 |
|
196 |
165 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,045 |
1,039 |
$20K |
| 99397 |
|
126 |
126 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
261 |
261 |
$18K |
| 46600 |
|
100 |
89 |
$15K |
| 90688 |
|
671 |
668 |
$12K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
66 |
65 |
$10K |
| 93923 |
|
67 |
67 |
$10K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
500 |
459 |
$9K |
| 90656 |
|
393 |
384 |
$9K |
| 45384 |
|
47 |
47 |
$8K |
| 99442 |
|
289 |
281 |
$7K |
| 43235 |
|
86 |
84 |
$5K |
| 93000 |
|
94 |
94 |
$3K |
| 99306 |
Prolong nursin fac eval 15m |
27 |
26 |
$2K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
14 |
14 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
28 |
$1K |
| 99385 |
|
14 |
13 |
$728.52 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
105 |
52 |
$689.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$124.90 |
| 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) |
850 |
750 |
$119.06 |
| 81000 |
|
13 |
13 |
$41.99 |