| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
667 |
657 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
347 |
321 |
$8K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
105 |
38 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
42 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
32 |
28 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$74.62 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
25 |
$0.00 |