| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
8,914 |
7,970 |
$835K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,248 |
15,000 |
$695K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,785 |
10,353 |
$359K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
5,163 |
4,564 |
$355K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
8,504 |
4,437 |
$211K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
1,260 |
1,090 |
$145K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,510 |
2,200 |
$121K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,353 |
1,195 |
$104K |
| 43235 |
|
1,229 |
1,100 |
$57K |
| 88342 |
|
1,200 |
1,078 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
968 |
870 |
$36K |
| 99223 |
Prolong inpt eval add15 m |
478 |
423 |
$34K |
| 99233 |
Prolong inpt eval add15 m |
928 |
477 |
$32K |
| 43450 |
|
1,280 |
1,162 |
$25K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
447 |
400 |
$23K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,641 |
1,103 |
$18K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
67 |
62 |
$11K |
| 99221 |
|
72 |
63 |
$2K |
| 87507 |
|
14 |
13 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
74 |
$1K |
| 99442 |
|
54 |
42 |
$666.50 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
12 |
12 |
$256.55 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
42 |
42 |
$228.82 |