| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
715 |
604 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,471 |
1,973 |
$70K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,504 |
338 |
$27K |
| 99223 |
Prolong inpt eval add15 m |
266 |
249 |
$22K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
78 |
39 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
65 |
41 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
78 |
39 |
$429.75 |
| 43450 |
|
13 |
12 |
$303.60 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
50 |
24 |
$254.59 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
82 |
41 |
$23.90 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
77 |
38 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
77 |
38 |
$0.00 |