| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,071 |
10,269 |
$593K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,280 |
3,272 |
$308K |
| 99223 |
Prolong inpt eval add15 m |
1,848 |
1,826 |
$151K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,564 |
1,502 |
$90K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
666 |
663 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
838 |
827 |
$32K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
268 |
263 |
$19K |
| 76981 |
|
220 |
217 |
$12K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
816 |
806 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
122 |
121 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
140 |
92 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
74 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
405 |
404 |
$4K |
| 91200 |
|
170 |
170 |
$4K |
| 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) |
1,313 |
1,023 |
$3K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
27 |
26 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
69 |
52 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$860.03 |
| 99490 |
Ccm add 20min |
335 |
333 |
$634.03 |
| 88342 |
|
53 |
50 |
$488.79 |