| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,601 |
3,578 |
$295K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,112 |
1,112 |
$127K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
666 |
664 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
303 |
303 |
$14K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
98 |
38 |
$3K |
| 99152 |
|
101 |
99 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
51 |
$741.05 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$739.14 |