| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,873 |
7,189 |
$608K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
4,731 |
4,281 |
$591K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,314 |
8,480 |
$490K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
1,841 |
1,623 |
$407K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,940 |
1,848 |
$285K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,075 |
991 |
$210K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,882 |
1,519 |
$193K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,079 |
1,910 |
$172K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,436 |
1,279 |
$146K |
| 88342 |
|
511 |
473 |
$91K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
239 |
212 |
$42K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
228 |
194 |
$36K |
| 99222 |
Initial hospital care, per day, moderate complexity |
238 |
218 |
$29K |
| 99215 |
Prolong outpt/office vis |
259 |
237 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
721 |
692 |
$27K |
| 99223 |
Prolong inpt eval add15 m |
221 |
188 |
$19K |
| 99254 |
|
79 |
78 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
180 |
161 |
$11K |
| 91200 |
|
209 |
203 |
$10K |
| 88313 |
|
51 |
51 |
$8K |
| 88312 |
|
40 |
40 |
$7K |
| S0285 |
Colonoscopy consultation performed prior to a screening colonoscopy procedure |
83 |
81 |
$5K |
| 43259 |
|
15 |
12 |
$3K |
| 43235 |
|
29 |
24 |
$3K |
| 99243 |
|
12 |
12 |
$2K |
| 43248 |
|
14 |
13 |
$1K |