| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
7,594 |
6,666 |
$369K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,145 |
4,570 |
$369K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,003 |
2,720 |
$343K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,944 |
1,764 |
$260K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,771 |
1,607 |
$138K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
415 |
380 |
$84K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,004 |
914 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,549 |
1,411 |
$79K |
| 99205 |
Prolong outpt/office vis |
236 |
213 |
$35K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
96 |
91 |
$16K |
| 99152 |
|
791 |
762 |
$12K |
| 99215 |
Prolong outpt/office vis |
150 |
127 |
$10K |
| 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) |
697 |
626 |
$9K |
| 99153 |
Mod sedat endo service >5yrs |
485 |
433 |
$3K |
| 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) |
210 |
205 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
53 |
18 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
21 |
14 |
$1K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
21 |
15 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
21 |
15 |
$0.00 |