| Code | Description | Claims | Beneficiaries | Total Paid |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
253 |
217 |
$46K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
145 |
56 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
27 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
13 |
$793.79 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
14 |
$615.84 |