| Code | Description | Claims | Beneficiaries | Total Paid |
| 43264 |
|
235 |
193 |
$67K |
| 43274 |
|
44 |
38 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
181 |
170 |
$8K |
| 99254 |
|
76 |
67 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
155 |
90 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
14 |
12 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
27 |
12 |
$771.10 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
13 |
$684.35 |