| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,409 |
10,171 |
$690K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
6,436 |
6,352 |
$454K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,593 |
4,536 |
$405K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,183 |
5,914 |
$280K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,677 |
2,285 |
$221K |
| 99233 |
Prolong inpt eval add15 m |
3,782 |
2,316 |
$216K |
| 99223 |
Prolong inpt eval add15 m |
1,779 |
1,704 |
$182K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,732 |
1,720 |
$171K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
1,134 |
1,121 |
$152K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,697 |
1,693 |
$102K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,048 |
1,007 |
$75K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
652 |
637 |
$62K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,915 |
703 |
$41K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
349 |
347 |
$37K |
| 99219 |
|
263 |
238 |
$17K |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
44 |
$1K |
| 43450 |
|
24 |
24 |
$475.79 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
15 |
15 |
$114.12 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3074F |
|
15 |
15 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
261 |
258 |
$0.00 |
| 1036F |
|
13 |
13 |
$0.00 |
| 0528F |
|
13 |
13 |
$0.00 |