| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
815 |
767 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,576 |
1,397 |
$58K |
| 99233 |
Prolong inpt eval add15 m |
1,571 |
513 |
$33K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
122 |
110 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
628 |
581 |
$16K |
| 99223 |
Prolong inpt eval add15 m |
146 |
127 |
$10K |
| 99152 |
|
359 |
293 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
216 |
77 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
116 |
109 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
527 |
432 |
$846.82 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$778.01 |
| 99153 |
Mod sedat endo service >5yrs |
33 |
31 |
$416.36 |
| 99253 |
|
12 |
12 |
$336.74 |
| 99222 |
Initial hospital care, per day, moderate complexity |
42 |
30 |
$329.00 |
| 81025 |
|
46 |
44 |
$109.26 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
48 |
41 |
$0.00 |