| Code | Description | Claims | Beneficiaries | Total Paid |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
219 |
200 |
$16K |
| 99223 |
Prolong inpt eval add15 m |
260 |
205 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
70 |
65 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
145 |
81 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
142 |
132 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
198 |
176 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
47 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
22 |
13 |
$1K |