| Code | Description | Claims | Beneficiaries | Total Paid |
| 99223 |
Prolong inpt eval add15 m |
175 |
142 |
$12K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
341 |
183 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
184 |
165 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
158 |
136 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
37 |
27 |
$958.01 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
20 |
15 |
$324.31 |