| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,035 |
1,981 |
$127K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
984 |
981 |
$100K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
475 |
470 |
$79K |
| 99215 |
Prolong outpt/office vis |
907 |
885 |
$40K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
68 |
67 |
$14K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
276 |
272 |
$9K |
| 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) |
260 |
242 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
395 |
393 |
$6K |
| 99205 |
Prolong outpt/office vis |
71 |
71 |
$5K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
12 |
12 |
$4K |
| 88312 |
|
109 |
109 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$815.42 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$545.77 |