| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59840 |
|
1,433 |
1,430 |
$311K |
| 76801 |
|
1,253 |
1,248 |
$165K |
| 99152 |
|
174 |
174 |
$7K |
| 99215 |
Prolong outpt/office vis |
570 |
559 |
$6K |
| 81025 |
|
1,942 |
1,913 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
25 |
25 |
$2K |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
331 |
331 |
$1K |
| 86901 |
|
337 |
337 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
443 |
440 |
$1K |
| 88300 |
|
514 |
512 |
$659.88 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,203 |
1,198 |
$404.02 |
| 36415 |
Collection of venous blood by venipuncture |
264 |
264 |
$336.13 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
167 |
167 |
$274.43 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
514 |
511 |
$51.22 |