| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,664 |
3,249 |
$32K |
| 97803 |
|
3,351 |
3,163 |
$23K |
| 43775 |
|
25 |
25 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
41 |
41 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,396 |
1,394 |
$366.30 |
| 97802 |
|
55 |
55 |
$267.08 |