| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
338 |
338 |
$20K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
109 |
109 |
$11K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
174 |
174 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
24 |
24 |
$2K |
| 3078F |
|
25 |
25 |
$0.04 |
| 3074F |
|
13 |
13 |
$0.01 |
| G8432 |
Depression screening not documented, reason not given |
78 |
77 |
$0.00 |