| Code | Description | Claims | Beneficiaries | Total Paid |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
121 |
95 |
$21K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
26 |
26 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
37 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
26 |
$880.08 |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$764.29 |