| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,945 |
8,572 |
$523K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
2,741 |
2,701 |
$353K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,456 |
3,440 |
$299K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
4,604 |
4,541 |
$265K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,637 |
5,477 |
$228K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
2,609 |
2,576 |
$221K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,577 |
2,550 |
$209K |
| 99222 |
Initial hospital care, per day, moderate complexity |
3,024 |
2,839 |
$208K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,234 |
2,216 |
$128K |
| 99223 |
Prolong inpt eval add15 m |
1,136 |
1,066 |
$111K |
| 43235 |
|
1,483 |
1,453 |
$85K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
808 |
798 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
869 |
849 |
$21K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
158 |
158 |
$16K |
| 46600 |
|
261 |
260 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
320 |
320 |
$13K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
510 |
330 |
$12K |
| 99205 |
Prolong outpt/office vis |
27 |
27 |
$2K |
| 43248 |
|
12 |
12 |
$839.17 |
| 99442 |
|
47 |
45 |
$648.90 |
| 99441 |
|
88 |
83 |
$599.87 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$82.95 |