| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,539 |
3,449 |
$189K |
| 99223 |
Prolong inpt eval add15 m |
2,085 |
1,986 |
$140K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,113 |
1,103 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,294 |
1,284 |
$47K |
| 99222 |
Initial hospital care, per day, moderate complexity |
169 |
169 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
304 |
237 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
67 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$793.54 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15 |
12 |
$435.99 |