| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,125 |
1,927 |
$116K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
720 |
640 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
798 |
714 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
212 |
205 |
$24K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
25 |
24 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
67 |
54 |
$4K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
216 |
92 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
109 |
45 |
$3K |
| 99490 |
Ccm add 20min |
220 |
190 |
$2K |
| 88313 |
|
81 |
40 |
$353.65 |
| 88342 |
|
16 |
13 |
$330.27 |
| 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) |
110 |
108 |
$151.48 |
| 99072 |
|
115 |
98 |
$91.00 |