| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
880 |
851 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,001 |
969 |
$36K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
15 |
15 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
105 |
101 |
$4K |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$292.70 |