| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
884 |
763 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
277 |
236 |
$29K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
150 |
137 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
55 |
49 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
114 |
84 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
40 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
26 |
12 |
$517.48 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
12 |
12 |
$35.75 |