| Code | Description | Claims | Beneficiaries | Total Paid |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
378 |
378 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
386 |
380 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
306 |
304 |
$14K |
| 99233 |
Prolong inpt eval add15 m |
239 |
134 |
$5K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
201 |
200 |
$4K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
25 |
25 |
$2K |
| 88313 |
|
102 |
102 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
267 |
262 |
$1K |
| 88342 |
|
65 |
65 |
$950.41 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
44 |
28 |
$821.55 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
156 |
156 |
$682.11 |
| 88312 |
|
24 |
24 |
$179.62 |