| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,633 |
2,520 |
$330K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,803 |
4,555 |
$152K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
811 |
811 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,156 |
1,083 |
$66K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,505 |
2,015 |
$63K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
268 |
255 |
$32K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,094 |
1,955 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
839 |
806 |
$20K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
73 |
62 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
149 |
135 |
$6K |
| 99254 |
|
52 |
52 |
$5K |
| 99490 |
Ccm add 20min |
3,048 |
2,490 |
$1K |
| 99439 |
|
1,091 |
886 |
$1K |
| 88312 |
|
18 |
18 |
$753.53 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
989 |
986 |
$721.75 |
| 88313 |
|
18 |
18 |
$522.72 |
| 99454 |
|
90 |
85 |
$235.07 |
| 99453 |
|
26 |
26 |
$98.60 |
| 99487 |
Ccm add 20min |
281 |
279 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
70 |
61 |
$0.00 |
| 99457 |
|
13 |
13 |
$0.00 |