| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
42,887 |
14,881 |
$976K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
7,105 |
7,045 |
$769K |
| 99223 |
Prolong inpt eval add15 m |
10,911 |
10,752 |
$703K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,229 |
14,175 |
$357K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,941 |
1,927 |
$308K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,863 |
5,860 |
$245K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
962 |
955 |
$214K |
| 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) |
5,363 |
5,170 |
$135K |
| 99152 |
|
7,012 |
6,941 |
$128K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,197 |
2,195 |
$113K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
481 |
479 |
$76K |
| 99153 |
Mod sedat endo service >5yrs |
5,924 |
5,889 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
130 |
130 |
$5K |
| 43246 |
|
26 |
26 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
29 |
27 |
$433.70 |