| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,410 |
1,408 |
$260K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,344 |
2,344 |
$223K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,022 |
3,949 |
$174K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
225 |
225 |
$68K |
| 99223 |
Prolong inpt eval add15 m |
464 |
461 |
$45K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
64 |
64 |
$22K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
51 |
51 |
$15K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
220 |
162 |
$4K |
| 99254 |
|
12 |
12 |
$966.11 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35 |
35 |
$835.20 |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
15 |
$379.79 |
| 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) |
60 |
60 |
$283.68 |