| Code | Description | Claims | Beneficiaries | Total Paid |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
200 |
200 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
260 |
257 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
111 |
111 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
38 |
38 |
$5K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
55 |
55 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$315.77 |