| Code | Description | Claims | Beneficiaries | Total Paid |
| 43249 |
|
1,076 |
1,064 |
$206K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,670 |
2,645 |
$199K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,862 |
3,766 |
$148K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,380 |
1,320 |
$84K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
918 |
911 |
$49K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
366 |
365 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
411 |
410 |
$36K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
125 |
123 |
$18K |
| 91200 |
|
643 |
634 |
$11K |
| 91120 |
|
42 |
42 |
$9K |
| 99441 |
|
307 |
303 |
$9K |
| 91122 |
|
42 |
42 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
305 |
284 |
$3K |
| 99442 |
|
66 |
66 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
134 |
133 |
$3K |
| 46221 |
|
14 |
12 |
$1K |
| 76981 |
|
16 |
16 |
$859.05 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
13 |
12 |
$621.72 |
| 43450 |
|
12 |
12 |
$346.20 |
| 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) |
36 |
36 |
$4.30 |