| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,352 |
6,693 |
$388K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,683 |
1,589 |
$230K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
673 |
648 |
$203K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,555 |
2,307 |
$203K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
620 |
578 |
$158K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,405 |
2,212 |
$83K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
330 |
324 |
$74K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
861 |
727 |
$41K |
| 99233 |
Prolong inpt eval add15 m |
712 |
352 |
$21K |
| 99223 |
Prolong inpt eval add15 m |
401 |
349 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
252 |
243 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
30 |
$333.72 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13 |
12 |
$278.52 |