| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,403 |
1,190 |
$157K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,237 |
1,666 |
$140K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
13,923 |
3,120 |
$119K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,523 |
2,070 |
$48K |
| 45384 |
|
353 |
293 |
$45K |
| 99254 |
|
668 |
593 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
805 |
628 |
$22K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
60 |
53 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
227 |
195 |
$8K |
| 99152 |
|
765 |
641 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
123 |
114 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
68 |
$1K |
| 43235 |
|
15 |
13 |
$1K |
| 82272 |
|
517 |
487 |
$911.30 |
| 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) |
486 |
334 |
$539.22 |
| 99221 |
|
51 |
51 |
$259.53 |
| 99223 |
Prolong inpt eval add15 m |
20 |
12 |
$138.00 |
| 99153 |
Mod sedat endo service >5yrs |
16 |
14 |
$107.19 |