| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
444 |
416 |
$15K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
47 |
42 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
151 |
131 |
$10K |
| 99233 |
Prolong inpt eval add15 m |
174 |
113 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
83 |
78 |
$5K |
| 99215 |
Prolong outpt/office vis |
49 |
46 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
13 |
$2K |
| 97597 |
|
45 |
30 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
12 |
$961.68 |
| 99221 |
|
21 |
19 |
$907.22 |
| 99253 |
|
13 |
13 |
$676.25 |