| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 37229 |
|
249 |
231 |
$36K |
| 93925 |
|
181 |
174 |
$7K |
| 37225 |
|
79 |
79 |
$4K |
| 37252 |
|
225 |
219 |
$4K |
| 93970 |
|
148 |
143 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
53 |
$4K |
| 75710 |
|
260 |
235 |
$3K |
| 37253 |
|
174 |
171 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36 |
32 |
$1K |
| 76937 |
|
325 |
297 |
$651.10 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
32 |
31 |
$567.16 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$429.93 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14 |
14 |
$19.84 |