| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,518 |
1,991 |
$45K |
| 93990 |
|
1,206 |
1,057 |
$24K |
| 37252 |
|
30 |
26 |
$6K |
| 76937 |
|
128 |
104 |
$1K |
| 37253 |
|
29 |
26 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
118 |
99 |
$347.45 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
65 |
53 |
$281.34 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
14 |
$203.88 |
| J7050 |
Infusion, normal saline solution, 250 cc |
108 |
93 |
$51.70 |
| J1644 |
Injection, heparin sodium, per 1000 units |
45 |
38 |
$11.54 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
82 |
69 |
$9.34 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
18 |
12 |
$0.10 |