| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
361 |
317 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,101 |
807 |
$16K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
39 |
38 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
126 |
92 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
38 |
30 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
62 |
27 |
$277.78 |