| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
8,871 |
8,416 |
$1.85M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,441 |
52,962 |
$1.68M |
| 88342 |
|
7,446 |
6,244 |
$877K |
| 00731 |
|
5,374 |
4,961 |
$871K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,053 |
18,276 |
$757K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
8,407 |
8,020 |
$665K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
4,755 |
4,511 |
$567K |
| 00813 |
|
2,236 |
2,102 |
$371K |
| 99243 |
|
4,283 |
3,938 |
$356K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,984 |
1,881 |
$263K |
| 88313 |
|
1,901 |
1,731 |
$143K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,847 |
1,761 |
$133K |
| 43762 |
|
773 |
708 |
$124K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,705 |
1,181 |
$55K |
| 99223 |
Prolong inpt eval add15 m |
590 |
540 |
$32K |
| 99222 |
Initial hospital care, per day, moderate complexity |
674 |
625 |
$31K |
| 17250 |
|
330 |
294 |
$21K |
| 00811 |
|
166 |
143 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
629 |
601 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
188 |
186 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
436 |
436 |
$4K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
64 |
53 |
$3K |
| 46600 |
|
57 |
54 |
$3K |
| 49905 |
|
20 |
12 |
$3K |
| 93975 |
|
44 |
40 |
$3K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
18 |
17 |
$2K |
| 99215 |
Prolong outpt/office vis |
26 |
25 |
$2K |
| 43235 |
|
56 |
41 |
$1K |
| 76981 |
|
17 |
17 |
$1K |
| 99252 |
|
13 |
12 |
$776.62 |
| 00812 |
|
16 |
15 |
$652.78 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
240 |
211 |
$277.50 |
| 99024 |
|
69 |
63 |
$0.00 |
| 3017F |
|
23 |
22 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
37 |
37 |
$0.00 |