| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
211 |
203 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
93 |
$16K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
15 |
14 |
$6K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
50 |
47 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
26 |
$3K |
| 88342 |
|
16 |
15 |
$2K |
| 88313 |
|
13 |
13 |
$692.90 |
| 88312 |
|
13 |
13 |
$235.74 |