| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,583 |
1,470 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
130 |
126 |
$9K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
17 |
17 |
$4K |
| 99205 |
Prolong outpt/office vis |
42 |
29 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$938.82 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$894.24 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
67 |
61 |
$799.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$589.95 |