| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
411 |
401 |
$29K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
614 |
166 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
136 |
136 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
110 |
103 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
94 |
24 |
$5K |
| 99205 |
Prolong outpt/office vis |
39 |
38 |
$5K |
| 99215 |
Prolong outpt/office vis |
28 |
28 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
42 |
41 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$909.04 |