| Code | Description | Claims | Beneficiaries | Total Paid |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
121 |
94 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
229 |
221 |
$23K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
96 |
80 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
184 |
173 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
29 |
27 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
15 |
15 |
$2K |
| J2704 |
Injection, propofol, 10 mg |
66 |
16 |
$471.40 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
33 |
16 |
$294.12 |