| Code | Description | Claims | Beneficiaries | Total Paid |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
82 |
73 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
33 |
$856.53 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38 |
33 |
$196.30 |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
15 |
$0.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
20 |
12 |
$0.00 |
| 43248 |
|
13 |
13 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
21 |
14 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$0.00 |