| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,402 |
1,216 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,350 |
1,151 |
$32K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
144 |
121 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
118 |
93 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
126 |
107 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
293 |
127 |
$3K |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99401 |
|
86 |
72 |
$895.79 |
| 99406 |
|
47 |
37 |
$317.23 |