| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,670 |
1,628 |
$259K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
969 |
960 |
$137K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
623 |
622 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,463 |
1,442 |
$117K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,023 |
1,011 |
$103K |
| 99205 |
Prolong outpt/office vis |
571 |
571 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,065 |
1,034 |
$80K |
| 99215 |
Prolong outpt/office vis |
743 |
737 |
$75K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
419 |
408 |
$71K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
498 |
497 |
$50K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
174 |
174 |
$44K |
| 88342 |
|
566 |
445 |
$33K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
353 |
353 |
$25K |
| 88313 |
|
657 |
638 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
428 |
409 |
$18K |
| 88312 |
|
255 |
255 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
242 |
229 |
$5K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
27 |
27 |
$5K |
| 83013 |
|
12 |
12 |
$748.40 |
| 91200 |
|
12 |
12 |
$280.10 |
| 83014 |
|
12 |
12 |
$87.30 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
64 |
63 |
$0.49 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
64 |
63 |
$0.49 |
| 99000 |
|
186 |
183 |
$0.00 |