| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
622 |
622 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
580 |
576 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
801 |
798 |
$40K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
115 |
58 |
$14K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
179 |
179 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
39 |
38 |
$2K |