| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,072 |
2,294 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,693 |
1,221 |
$33K |
| 93926 |
|
405 |
339 |
$11K |
| 99152 |
|
923 |
780 |
$6K |
| 93971 |
|
35 |
24 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
39 |
$1K |
| 76937 |
|
298 |
244 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
25 |
$1K |
| 93923 |
|
68 |
43 |
$1K |
| 77001 |
|
60 |
57 |
$542.57 |
| 93880 |
|
14 |
12 |
$221.28 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
39 |
13 |
$110.21 |
| 99153 |
Mod sedat endo service >5yrs |
12 |
12 |
$43.77 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
56 |
39 |
$2.55 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
24 |
13 |
$1.97 |