| Code | Description | Claims | Beneficiaries | Total Paid |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
7,411 |
7,330 |
$1.61M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
8,835 |
8,511 |
$1.15M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
7,292 |
7,264 |
$1.05M |
| 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) |
15,771 |
15,694 |
$685K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
11,361 |
11,309 |
$601K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,349 |
14,147 |
$447K |
| 88312 |
|
4,459 |
4,293 |
$406K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
2,071 |
2,067 |
$405K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
969 |
959 |
$267K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,097 |
4,086 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,575 |
5,526 |
$92K |
| 88313 |
|
1,647 |
1,586 |
$90K |
| 99205 |
Prolong outpt/office vis |
674 |
671 |
$42K |
| 76981 |
|
346 |
346 |
$23K |
| 91200 |
|
557 |
556 |
$12K |
| 99152 |
|
720 |
702 |
$8K |
| 88342 |
|
39 |
39 |
$3K |
| 99153 |
Mod sedat endo service >5yrs |
321 |
320 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
35 |
33 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
19 |
12 |
$475.86 |