| Code | Description | Claims | Beneficiaries | Total Paid |
| 99222 |
Initial hospital care, per day, moderate complexity |
850 |
792 |
$29K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
843 |
608 |
$24K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
98 |
91 |
$13K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
832 |
477 |
$9K |
| 99221 |
|
155 |
148 |
$6K |
| 99254 |
|
14 |
13 |
$863.20 |
| 99253 |
|
13 |
13 |
$608.49 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$606.73 |