| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,085 |
772 |
$366K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,143 |
2,903 |
$265K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,788 |
1,303 |
$215K |
| 99223 |
Prolong inpt eval add15 m |
904 |
744 |
$131K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
416 |
277 |
$117K |
| 99070 |
|
2,081 |
1,414 |
$83K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
114 |
57 |
$66K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
125 |
90 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
176 |
131 |
$14K |
| 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) |
379 |
234 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
71 |
49 |
$5K |