| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
7,335 |
6,946 |
$844K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
2,952 |
2,784 |
$613K |
| 00731 |
|
5,911 |
5,508 |
$394K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
8,049 |
7,691 |
$354K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,670 |
4,322 |
$235K |
| 00811 |
|
3,526 |
3,292 |
$219K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,208 |
1,128 |
$177K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,396 |
3,224 |
$109K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,516 |
1,408 |
$107K |
| 99223 |
Prolong inpt eval add15 m |
2,088 |
1,962 |
$99K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,697 |
1,597 |
$75K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
176 |
171 |
$30K |
| 00812 |
|
333 |
300 |
$18K |
| 99222 |
Initial hospital care, per day, moderate complexity |
478 |
453 |
$15K |
| 99215 |
Prolong outpt/office vis |
208 |
182 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
476 |
328 |
$12K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
450 |
336 |
$8K |
| 43235 |
|
20 |
15 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$250.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$134.54 |
| 99443 |
|
15 |
12 |
$114.51 |