| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
5,727 |
5,071 |
$738K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
2,506 |
2,229 |
$552K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
5,669 |
4,811 |
$548K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
2,585 |
2,241 |
$424K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,008 |
7,053 |
$388K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
2,191 |
1,876 |
$375K |
| 88342 |
|
3,756 |
3,248 |
$319K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,147 |
2,747 |
$252K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,503 |
4,871 |
$202K |
| 88313 |
|
3,450 |
3,061 |
$168K |
| 00811 |
|
1,624 |
1,425 |
$120K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,154 |
1,885 |
$120K |
| 00731 |
|
1,679 |
1,463 |
$118K |
| 00813 |
|
1,194 |
1,067 |
$98K |
| 88312 |
|
1,792 |
1,587 |
$95K |
| 00812 |
|
862 |
774 |
$62K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
81 |
74 |
$20K |
| 43235 |
|
227 |
190 |
$14K |
| 99215 |
Prolong outpt/office vis |
199 |
164 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
135 |
119 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$498.62 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$251.93 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
21 |
15 |
$22.88 |