| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,370 |
1,285 |
$40K |
| 99223 |
Prolong inpt eval add15 m |
421 |
318 |
$19K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
440 |
320 |
$15K |
| 99226 |
|
353 |
276 |
$12K |
| 99222 |
Initial hospital care, per day, moderate complexity |
740 |
566 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
718 |
494 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
53 |
$3K |
| 99225 |
|
70 |
53 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
34 |
25 |
$1K |
| 43235 |
|
19 |
15 |
$879.12 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
13 |
$70.26 |
| 88312 |
|
17 |
12 |
$0.00 |