| Code | Description | Claims | Beneficiaries | Total Paid |
| 93990 |
|
1,109 |
974 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
659 |
631 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
220 |
215 |
$22K |
| 99222 |
Initial hospital care, per day, moderate complexity |
189 |
177 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
60 |
60 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
257 |
232 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
138 |
78 |
$6K |
| 99254 |
|
29 |
28 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
153 |
104 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
31 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
13 |
$2K |