| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,098 |
2,040 |
$300K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
788 |
770 |
$244K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,463 |
3,373 |
$172K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,437 |
1,395 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,978 |
2,928 |
$102K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
433 |
430 |
$94K |
| 99243 |
|
878 |
872 |
$80K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
452 |
448 |
$67K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
336 |
321 |
$66K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
974 |
960 |
$57K |
| 99233 |
Prolong inpt eval add15 m |
480 |
203 |
$35K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
218 |
145 |
$12K |
| 99242 |
|
142 |
141 |
$9K |
| 99254 |
|
133 |
131 |
$8K |
| 91200 |
|
255 |
248 |
$4K |
| 99245 |
|
12 |
12 |
$2K |
| 99215 |
Prolong outpt/office vis |
36 |
36 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
232 |
219 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
19 |
13 |
$638.72 |
| 99253 |
|
12 |
12 |
$454.40 |