| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,911 |
1,531 |
$27K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
160 |
160 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
54 |
54 |
$1K |
| 88312 |
|
40 |
40 |
$286.38 |
| 88313 |
|
40 |
40 |
$269.06 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$194.61 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
195 |
180 |
$0.00 |
| 1036F |
|
195 |
180 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
191 |
159 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
145 |
122 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
46 |
39 |
$0.00 |