| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
567 |
558 |
$99K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,010 |
1,010 |
$74K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
76 |
76 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
977 |
965 |
$32K |
| 99243 |
|
376 |
376 |
$28K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
41 |
41 |
$15K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
29 |
29 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
167 |
165 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
109 |
108 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
57 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
53 |
53 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
65 |
40 |
$3K |
| 99152 |
|
41 |
40 |
$2K |
| 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) |
26 |
26 |
$1K |