| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
10,019 |
9,335 |
$1.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,990 |
6,768 |
$539K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,136 |
2,011 |
$255K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,293 |
1,248 |
$154K |
| 88342 |
|
2,647 |
2,431 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,586 |
1,536 |
$83K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
310 |
300 |
$73K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
191 |
179 |
$32K |
| 00731 |
|
149 |
145 |
$22K |
| 00813 |
|
37 |
37 |
$6K |
| 00812 |
|
27 |
27 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
44 |
40 |
$3K |
| 00811 |
|
26 |
26 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
17 |
12 |
$340.89 |
| 88313 |
|
31 |
30 |
$179.04 |
| 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) |
763 |
740 |
$99.51 |