| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
185 |
155 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
157 |
145 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
107 |
101 |
$4K |
| 99254 |
|
57 |
57 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
43 |
26 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
24 |
24 |
$1K |
| 99152 |
|
15 |
13 |
$98.42 |