| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
3,558 |
3,353 |
$284K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,808 |
4,528 |
$280K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,502 |
4,000 |
$275K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,826 |
1,734 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
950 |
879 |
$70K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
592 |
556 |
$68K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
288 |
280 |
$21K |
| 88312 |
|
193 |
181 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
183 |
167 |
$11K |
| 99221 |
|
101 |
97 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
20 |
18 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
13 |
$395.59 |
| 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) |
31 |
26 |
$15.21 |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
53 |
51 |
$0.00 |
| 99152 |
|
13 |
12 |
$0.00 |