| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
332 |
332 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
268 |
266 |
$19K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
124 |
124 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131 |
129 |
$7K |
| 99152 |
|
720 |
710 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
72 |
39 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$947.35 |
| 44361 |
|
12 |
12 |
$902.34 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$676.72 |
| 99153 |
Mod sedat endo service >5yrs |
84 |
84 |
$582.00 |