| Code | Description | Claims | Beneficiaries | Total Paid |
| 99222 |
Initial hospital care, per day, moderate complexity |
960 |
669 |
$46K |
| 99223 |
Prolong inpt eval add15 m |
290 |
220 |
$28K |
| 99233 |
Prolong inpt eval add15 m |
1,253 |
489 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
212 |
191 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,589 |
613 |
$6K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
29 |
27 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
51 |
$1K |