| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,428 |
1,322 |
$62K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
149 |
138 |
$12K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
60 |
56 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
33 |
14 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$768.15 |