| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
327 |
304 |
$22K |
| 99215 |
Prolong outpt/office vis |
143 |
138 |
$13K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
36 |
36 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
82 |
73 |
$4K |
| 99205 |
Prolong outpt/office vis |
31 |
31 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
19 |
12 |
$970.20 |