| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
742 |
737 |
$31K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
198 |
198 |
$25K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
136 |
136 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
239 |
235 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
21 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
26 |
26 |
$145.20 |
| 81025 |
|
12 |
12 |
$39.60 |