| Code | Description | Claims | Beneficiaries | Total Paid |
| 93925 |
|
2,969 |
2,458 |
$101K |
| 93978 |
|
1,716 |
1,398 |
$73K |
| 93970 |
|
974 |
847 |
$55K |
| 93880 |
|
1,608 |
1,301 |
$44K |
| 93922 |
|
3,765 |
3,126 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,737 |
2,205 |
$43K |
| 93971 |
|
620 |
518 |
$24K |
| 93979 |
|
497 |
416 |
$10K |
| 36475 |
|
15 |
12 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
255 |
207 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
619 |
507 |
$8K |
| 93926 |
|
303 |
238 |
$5K |
| 37252 |
|
59 |
24 |
$5K |
| 76937 |
|
778 |
374 |
$4K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
404 |
205 |
$4K |
| 75710 |
|
30 |
14 |
$914.84 |
| 80047 |
|
518 |
292 |
$707.28 |
| 93923 |
|
34 |
27 |
$649.50 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$426.85 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
268 |
206 |
$340.10 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
93 |
40 |
$333.15 |
| 36415 |
Collection of venous blood by venipuncture |
520 |
291 |
$177.66 |
| 37253 |
|
28 |
12 |
$104.04 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
509 |
260 |
$70.15 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
68 |
41 |
$46.82 |
| 99406 |
|
14 |
12 |
$33.19 |