| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
169 |
153 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
192 |
168 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
52 |
47 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
133 |
63 |
$2K |
| 99220 |
|
18 |
13 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
16 |
13 |
$572.74 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
24 |
14 |
$0.00 |