| Code | Description | Claims | Beneficiaries | Total Paid |
| 36475 |
|
923 |
656 |
$750K |
| 37227 |
|
82 |
72 |
$571K |
| 36465 |
|
347 |
245 |
$350K |
| 37229 |
|
82 |
72 |
$226K |
| 36476 |
|
844 |
611 |
$165K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
707 |
687 |
$96K |
| 93970 |
|
586 |
583 |
$96K |
| 36247 |
|
82 |
72 |
$37K |
| 37186 |
|
29 |
27 |
$29K |
| 93925 |
|
202 |
202 |
$29K |
| 93978 |
|
203 |
203 |
$25K |
| 37252 |
|
29 |
27 |
$24K |
| 36471 |
|
80 |
59 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
51 |
$9K |
| 37253 |
|
29 |
27 |
$4K |
| 99152 |
|
82 |
72 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
82 |
72 |
$2K |
| 75710 |
|
15 |
15 |
$1K |
| 93971 |
|
14 |
13 |
$1K |
| 76937 |
|
29 |
27 |
$899.40 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
135 |
131 |
$558.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$108.90 |