| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,181 |
7,699 |
$472K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,728 |
2,354 |
$188K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,221 |
1,944 |
$119K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,565 |
1,389 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,042 |
1,795 |
$68K |
| 88312 |
|
703 |
620 |
$33K |
| 88313 |
|
477 |
414 |
$17K |
| 99223 |
Prolong inpt eval add15 m |
248 |
228 |
$15K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
826 |
430 |
$10K |
| 43235 |
|
330 |
300 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
298 |
268 |
$10K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
212 |
199 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
183 |
92 |
$4K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
82 |
77 |
$2K |
| 99215 |
Prolong outpt/office vis |
57 |
51 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
191 |
184 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
30 |
28 |
$1K |
| 43248 |
|
13 |
12 |
$879.77 |
| 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) |
227 |
212 |
$0.00 |