| Code | Description | Claims | Beneficiaries | Total Paid |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
2,288 |
2,257 |
$399K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
3,274 |
3,263 |
$389K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
2,003 |
1,994 |
$320K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
7,842 |
7,741 |
$309K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,896 |
2,857 |
$292K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
1,047 |
1,037 |
$237K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
837 |
836 |
$149K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,129 |
1,128 |
$149K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,656 |
1,631 |
$116K |
| 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) |
3,547 |
3,425 |
$58K |
| 88312 |
|
3,082 |
3,073 |
$53K |
| 91200 |
|
1,511 |
1,511 |
$41K |
| 88342 |
|
636 |
634 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
522 |
508 |
$12K |
| 87077 |
|
1,467 |
1,458 |
$11K |
| 76981 |
|
63 |
63 |
$7K |
| 88341 |
|
83 |
83 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
40 |
27 |
$2K |
| 43450 |
|
63 |
63 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
19 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$627.23 |