| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
23,954 |
15,994 |
$1.27M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
6,762 |
4,768 |
$583K |
| 88342 |
|
9,842 |
6,847 |
$321K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,513 |
1,272 |
$284K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,693 |
2,788 |
$283K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,651 |
3,640 |
$257K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,405 |
1,081 |
$216K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
605 |
497 |
$128K |
| 88313 |
|
7,309 |
5,444 |
$110K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
656 |
511 |
$40K |
| 99222 |
Initial hospital care, per day, moderate complexity |
543 |
459 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
865 |
766 |
$38K |
| 88312 |
|
721 |
665 |
$36K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
661 |
276 |
$20K |
| 43248 |
|
123 |
98 |
$14K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
740 |
402 |
$12K |
| 43235 |
|
58 |
53 |
$7K |
| 99221 |
|
41 |
25 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
23 |
14 |
$1K |
| 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) |
58 |
45 |
$63.90 |