| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,193 |
1,191 |
$146K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,142 |
1,142 |
$98K |
| 99222 |
Initial hospital care, per day, moderate complexity |
608 |
594 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
518 |
515 |
$33K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
381 |
381 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
309 |
307 |
$28K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
505 |
306 |
$26K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
369 |
367 |
$21K |
| 00813 |
|
42 |
42 |
$15K |
| 99233 |
Prolong inpt eval add15 m |
131 |
129 |
$9K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
84 |
60 |
$2K |