| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,136 |
1,021 |
$112K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,250 |
2,066 |
$36K |
| 99223 |
Prolong inpt eval add15 m |
225 |
197 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,668 |
1,501 |
$6K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
28 |
27 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
119 |
111 |
$2K |
| 88312 |
|
703 |
648 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
103 |
53 |
$1K |
| 99490 |
Ccm add 20min |
772 |
608 |
$945.58 |
| 99457 |
|
464 |
357 |
$860.04 |
| 88313 |
|
397 |
368 |
$820.08 |
| 99233 |
Prolong inpt eval add15 m |
18 |
12 |
$818.21 |
| 88342 |
|
162 |
148 |
$254.75 |
| 99487 |
Ccm add 20min |
17 |
13 |
$209.15 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
12 |
$157.00 |
| 99489 |
Ccm add 20min |
17 |
13 |
$110.62 |
| 99454 |
|
38 |
27 |
$100.50 |
| 80053 |
Comprehensive metabolic panel |
97 |
88 |
$79.53 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
126 |
116 |
$76.01 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
25 |
$37.07 |
| 36415 |
Collection of venous blood by venipuncture |
241 |
192 |
$25.80 |
| 99458 |
|
34 |
24 |
$22.46 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58 |
53 |
$6.81 |
| 85610 |
|
18 |
15 |
$3.92 |
| 99439 |
|
120 |
76 |
$0.00 |