| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
509 |
382 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
424 |
388 |
$7K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
75 |
70 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
75 |
64 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
46 |
$2K |
| 93000 |
|
209 |
200 |
$553.24 |
| 99205 |
Prolong outpt/office vis |
17 |
16 |
$512.48 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
110 |
49 |
$371.81 |
| 99233 |
Prolong inpt eval add15 m |
24 |
14 |
$216.06 |
| 36415 |
Collection of venous blood by venipuncture |
209 |
191 |
$76.78 |