| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
604 |
539 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
852 |
759 |
$31K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
74 |
70 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,451 |
228 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
91 |
66 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
222 |
149 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
627 |
89 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
56 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
222 |
37 |
$1K |
| 99024 |
|
27 |
13 |
$0.00 |