| Code | Description | Claims | Beneficiaries | Total Paid |
| 99223 |
Prolong inpt eval add15 m |
881 |
591 |
$88K |
| 99233 |
Prolong inpt eval add15 m |
3,436 |
753 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,263 |
1,388 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
796 |
484 |
$28K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,133 |
454 |
$24K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
750 |
515 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
658 |
570 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
189 |
160 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
324 |
191 |
$10K |
| H1000 |
Prenatal care, at-risk assessment |
35 |
12 |
$3K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
28 |
13 |
$498.46 |