| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,001 |
3,792 |
$130K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,028 |
1,886 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,792 |
1,593 |
$68K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
617 |
576 |
$52K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,215 |
947 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
521 |
480 |
$37K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
243 |
212 |
$34K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
185 |
176 |
$17K |
| 88342 |
|
337 |
255 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
134 |
121 |
$5K |
| 88313 |
|
362 |
281 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
196 |
190 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
56 |
55 |
$3K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
13 |
13 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
43 |
37 |
$789.82 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
26 |
$612.86 |
| 88312 |
|
22 |
12 |
$159.96 |