| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
316 |
307 |
$72K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
480 |
478 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
728 |
713 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
356 |
351 |
$27K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
319 |
316 |
$3K |
| 74019 |
|
59 |
59 |
$1K |
| 86140 |
|
166 |
164 |
$974.74 |
| 80053 |
Comprehensive metabolic panel |
77 |
74 |
$961.16 |
| 82784 |
|
78 |
77 |
$789.96 |
| 82397 |
|
24 |
20 |
$406.18 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$215.08 |
| 84439 |
|
13 |
13 |
$125.41 |
| 85652 |
|
30 |
30 |
$83.16 |