| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
965 |
920 |
$72K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,034 |
931 |
$71K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,343 |
1,214 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,741 |
1,592 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,089 |
1,004 |
$45K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
215 |
191 |
$23K |
| 99443 |
|
105 |
89 |
$4K |
| 99152 |
|
929 |
908 |
$4K |
| 99442 |
|
109 |
96 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
66 |
66 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$993.80 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$678.50 |
| 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) |
13 |
12 |
$16.60 |
| 82962 |
|
13 |
12 |
$14.79 |