| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
521 |
409 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
209 |
184 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
385 |
160 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
57 |
55 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
50 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55 |
51 |
$777.55 |