| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,552 |
4,002 |
$277K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,777 |
2,508 |
$222K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,618 |
4,085 |
$218K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
679 |
615 |
$63K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
784 |
231 |
$38K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
151 |
139 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
230 |
218 |
$15K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
87 |
85 |
$10K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
58 |
53 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
117 |
104 |
$9K |
| 90746 |
|
158 |
96 |
$7K |
| 99152 |
|
805 |
756 |
$6K |
| 99215 |
Prolong outpt/office vis |
73 |
58 |
$5K |
| 43235 |
|
56 |
52 |
$4K |
| 99205 |
Prolong outpt/office vis |
38 |
31 |
$3K |
| 90632 |
|
43 |
27 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
51 |
13 |
$905.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
156 |
102 |
$696.00 |
| 99153 |
Mod sedat endo service >5yrs |
163 |
154 |
$434.49 |
| 91200 |
|
28 |
25 |
$216.30 |
| 80053 |
Comprehensive metabolic panel |
16 |
15 |
$133.00 |
| 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) |
32 |
27 |
$15.37 |
| 1159F |
|
334 |
287 |
$0.00 |