| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,787 |
1,743 |
$53K |
| 99222 |
Initial hospital care, per day, moderate complexity |
429 |
421 |
$24K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
143 |
137 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
93 |
56 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
19 |
$642.23 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$214.58 |