| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
126 |
96 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
49 |
45 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
28 |
28 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
29 |
27 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
19 |
14 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
29 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
15 |
$833.91 |