| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
202 |
153 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
528 |
374 |
$11K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
66 |
53 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
118 |
28 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
34 |
27 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
36 |
26 |
$221.95 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$181.72 |