| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
4,369 |
4,323 |
$1.84M |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
2,901 |
2,891 |
$939K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
10,623 |
10,576 |
$913K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
4,655 |
4,629 |
$835K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,814 |
15,496 |
$805K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,474 |
1,474 |
$373K |
| 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) |
3,290 |
3,278 |
$184K |
| 99152 |
|
2,450 |
2,404 |
$166K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,151 |
1,151 |
$77K |
| 99205 |
Prolong outpt/office vis |
392 |
392 |
$56K |
| 99223 |
Prolong inpt eval add15 m |
306 |
295 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
437 |
150 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
250 |
249 |
$10K |
| 99153 |
Mod sedat endo service >5yrs |
259 |
256 |
$9K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,063 |
1,030 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
17 |
13 |
$787.76 |