| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44,350 |
41,564 |
$1.69M |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
4,699 |
4,663 |
$1.39M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
5,526 |
5,485 |
$1.24M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
9,619 |
9,592 |
$689K |
| 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) |
12,595 |
11,822 |
$644K |
| 99215 |
Prolong outpt/office vis |
7,192 |
6,473 |
$460K |
| 43235 |
|
2,071 |
2,044 |
$401K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
921 |
917 |
$284K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,311 |
9,099 |
$247K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,107 |
3,100 |
$182K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
313 |
309 |
$114K |
| 99152 |
|
2,613 |
2,393 |
$98K |
| 99205 |
Prolong outpt/office vis |
1,030 |
1,026 |
$87K |
| 91200 |
|
1,973 |
1,969 |
$59K |
| 76981 |
|
460 |
446 |
$38K |
| 99233 |
Prolong inpt eval add15 m |
859 |
231 |
$37K |
| 99223 |
Prolong inpt eval add15 m |
238 |
207 |
$15K |
| 96369 |
|
106 |
85 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
617 |
606 |
$12K |
| 99242 |
|
145 |
145 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
111 |
109 |
$5K |
| 37191 |
|
37 |
37 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
182 |
174 |
$2K |
| 47000 |
|
12 |
12 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
21 |
14 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
16 |
16 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
13 |
$779.20 |
| J7050 |
Infusion, normal saline solution, 250 cc |
26 |
24 |
$640.54 |
| 92100 |
|
18 |
18 |
$430.18 |
| 76942 |
|
14 |
13 |
$387.63 |
| 99495 |
|
72 |
65 |
$218.30 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
17 |
15 |
$189.19 |
| 3078F |
|
16 |
16 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |