| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,159 |
1,153 |
$22K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
135 |
135 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
230 |
230 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
195 |
193 |
$6K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
12 |
12 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
64 |
39 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
22 |
12 |
$286.11 |
| 3008F |
|
16 |
16 |
$0.00 |