| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
446 |
311 |
$16K |
| 99221 |
|
600 |
456 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
177 |
136 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
53 |
38 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
56 |
39 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
26 |
13 |
$294.36 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
17 |
$246.24 |