| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
4,951 |
4,690 |
$978K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,293 |
11,722 |
$789K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,164 |
11,397 |
$609K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,308 |
3,157 |
$354K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,604 |
4,373 |
$338K |
| 00731 |
|
2,689 |
2,627 |
$209K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,468 |
4,040 |
$200K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
787 |
719 |
$155K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
600 |
576 |
$113K |
| J3380 |
Injection, vedolizumab, intravenous, 1 mg |
13 |
12 |
$88K |
| 00811 |
|
693 |
680 |
$54K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
613 |
463 |
$41K |
| 00812 |
|
574 |
567 |
$37K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
295 |
294 |
$36K |
| 99222 |
Initial hospital care, per day, moderate complexity |
910 |
810 |
$26K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
698 |
682 |
$14K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
355 |
329 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
95 |
91 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
140 |
66 |
$7K |
| 99215 |
Prolong outpt/office vis |
57 |
57 |
$6K |
| 88312 |
|
122 |
110 |
$5K |
| 99439 |
|
847 |
778 |
$4K |
| 99490 |
Ccm add 20min |
878 |
810 |
$4K |
| 99243 |
|
29 |
29 |
$3K |
| 00813 |
|
24 |
24 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$1K |
| J7050 |
Infusion, normal saline solution, 250 cc |
563 |
506 |
$738.01 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
27 |
12 |
$436.10 |
| 88313 |
|
14 |
12 |
$214.96 |
| 99000 |
|
557 |
541 |
$23.51 |