| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,932 |
5,757 |
$258K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,045 |
1,029 |
$206K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,455 |
2,341 |
$166K |
| 99215 |
Prolong outpt/office vis |
1,513 |
1,348 |
$154K |
| 99205 |
Prolong outpt/office vis |
727 |
706 |
$83K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
673 |
659 |
$59K |
| 99152 |
|
750 |
728 |
$21K |
| 93000 |
|
974 |
931 |
$8K |
| 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) |
236 |
230 |
$7K |
| 97804 |
|
76 |
74 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$1K |
| 97803 |
|
29 |
27 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
13 |
$900.96 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
31 |
$739.21 |
| 97802 |
|
28 |
25 |
$655.69 |
| 99442 |
|
12 |
12 |
$211.77 |
| 99401 |
|
99 |
88 |
$0.00 |