| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
2,672 |
2,363 |
$1.39M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,737 |
2,413 |
$591K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,715 |
5,086 |
$514K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,043 |
912 |
$393K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,505 |
6,771 |
$377K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
542 |
491 |
$132K |
| 99152 |
|
2,462 |
2,071 |
$120K |
| 99223 |
Prolong inpt eval add15 m |
454 |
434 |
$28K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
771 |
229 |
$20K |
| 99205 |
Prolong outpt/office vis |
67 |
67 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
69 |
$6K |
| 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) |
92 |
89 |
$5K |
| 99153 |
Mod sedat endo service >5yrs |
165 |
154 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
39 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
39 |
33 |
$817.49 |
| 3017F |
|
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,405 |
2,332 |
$0.00 |