| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
624 |
624 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,002 |
989 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
520 |
517 |
$48K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
724 |
723 |
$48K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
187 |
187 |
$29K |
| 43248 |
|
131 |
131 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
52 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
25 |
25 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
70 |
39 |
$3K |
| 46500 |
|
12 |
12 |
$835.32 |