| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,240 |
2,528 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,138 |
1,149 |
$46K |
| 96521 |
|
1,090 |
176 |
$42K |
| 93925 |
|
520 |
407 |
$22K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,085 |
176 |
$20K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,083 |
176 |
$10K |
| 93970 |
|
116 |
93 |
$6K |
| 0598T |
|
107 |
43 |
$3K |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
51 |
37 |
$482.08 |
| 93926 |
|
21 |
12 |
$442.86 |
| J1817 |
Insulin for administration through dme (i.e., insulin pump) per 50 units |
142 |
12 |
$397.28 |
| 76937 |
|
53 |
39 |
$334.10 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
40 |
$286.29 |
| 36000 |
|
263 |
40 |
$0.00 |