| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,485 |
3,361 |
$289K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
863 |
857 |
$269K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
338 |
336 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,432 |
1,396 |
$104K |
| 99205 |
Prolong outpt/office vis |
433 |
433 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
456 |
456 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
234 |
223 |
$10K |
| 81025 |
|
57 |
55 |
$163.27 |
| A4550 |
Surgical trays |
1,605 |
1,441 |
$100.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
57 |
57 |
$0.01 |
| 1036F |
|
14 |
14 |
$0.00 |
| 99070 |
|
32 |
29 |
$0.00 |
| 99000 |
|
83 |
78 |
$0.00 |
| 1000F |
|
17 |
17 |
$0.00 |