| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,369 |
2,359 |
$330K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
720 |
717 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,821 |
3,793 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,620 |
1,602 |
$79K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
204 |
203 |
$59K |
| 43264 |
|
311 |
304 |
$50K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,028 |
596 |
$30K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
102 |
101 |
$28K |
| 99253 |
|
614 |
602 |
$27K |
| 43235 |
|
139 |
139 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
141 |
141 |
$7K |
| 74328 |
|
227 |
222 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
213 |
169 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
68 |
$4K |
| 99215 |
Prolong outpt/office vis |
88 |
88 |
$4K |
| 99254 |
|
48 |
48 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
84 |
54 |
$2K |
| 99255 |
|
21 |
21 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
112 |
111 |
$1K |
| 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) |
131 |
131 |
$1K |
| 99252 |
|
27 |
27 |
$788.77 |
| 74330 |
|
39 |
38 |
$624.96 |
| 99221 |
|
12 |
12 |
$377.30 |