| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
54 |
53 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
172 |
171 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
60 |
42 |
$698.45 |
| 99223 |
Prolong inpt eval add15 m |
30 |
27 |
$474.83 |
| 99221 |
|
13 |
13 |
$112.32 |
| 99233 |
Prolong inpt eval add15 m |
22 |
14 |
$68.28 |
| 1159F |
|
55 |
54 |
$0.00 |
| 1160F |
|
55 |
54 |
$0.00 |
| 1126F |
|
81 |
80 |
$0.00 |