| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,397 |
2,614 |
$188K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
967 |
846 |
$176K |
| 43235 |
|
622 |
545 |
$98K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
558 |
488 |
$95K |
| 99254 |
|
1,003 |
945 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,832 |
1,687 |
$56K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
295 |
252 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
515 |
502 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
363 |
353 |
$18K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
174 |
146 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
327 |
321 |
$14K |
| 44361 |
|
39 |
36 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
392 |
364 |
$8K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
14 |
12 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
53 |
26 |
$2K |
| 99253 |
|
47 |
44 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
96 |
57 |
$1K |
| 99221 |
|
58 |
55 |
$883.46 |
| 99426 |
|
12 |
12 |
$381.02 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$325.88 |
| 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) |
17 |
17 |
$34.56 |