| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,509 |
6,497 |
$201K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,833 |
1,682 |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,350 |
2,982 |
$137K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
940 |
787 |
$80K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
444 |
396 |
$20K |
| 20610 |
|
429 |
332 |
$12K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
269 |
261 |
$11K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,584 |
1,401 |
$11K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
47 |
39 |
$5K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
29 |
27 |
$5K |
| 92567 |
|
393 |
326 |
$3K |
| 99215 |
Prolong outpt/office vis |
49 |
45 |
$2K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
15 |
13 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
15 |
12 |
$2K |
| 92557 |
|
130 |
104 |
$2K |
| 99243 |
|
14 |
14 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
66 |
$1K |
| 30802 |
|
15 |
12 |
$537.47 |
| 92579 |
|
25 |
24 |
$357.72 |
| 93227 |
|
12 |
12 |
$340.76 |
| 76857 |
|
14 |
12 |
$212.95 |
| 93244 |
|
17 |
13 |
$199.13 |
| 99441 |
|
18 |
13 |
$86.76 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
213 |
203 |
$63.21 |
| 99152 |
|
15 |
15 |
$30.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
58 |
54 |
$0.00 |
| 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) |
17 |
14 |
$0.00 |
| 1036F |
|
59 |
57 |
$0.00 |
| 1034F |
|
50 |
44 |
$0.00 |