| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
700 |
678 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
166 |
165 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
810 |
784 |
$14K |
| 91065 |
|
121 |
121 |
$7K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
66 |
66 |
$7K |
| 99205 |
Prolong outpt/office vis |
48 |
48 |
$174.36 |
| 82270 |
|
25 |
25 |
$43.80 |