| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
629 |
629 |
$31K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
78 |
78 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
423 |
407 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
84 |
84 |
$4K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
60 |
60 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
113 |
31 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
35 |
16 |
$697.96 |