| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,302 |
5,118 |
$60K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,296 |
1,263 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
670 |
654 |
$14K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
193 |
183 |
$12K |
| 99442 |
|
399 |
379 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
226 |
221 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
96 |
96 |
$2K |
| 99243 |
|
26 |
26 |
$2K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
12 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
78 |
$797.69 |
| 99441 |
|
103 |
102 |
$600.42 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$519.11 |
| 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) |
417 |
404 |
$67.24 |
| 99153 |
Mod sedat endo service >5yrs |
23 |
15 |
$0.00 |