| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36902 |
|
1,222 |
1,092 |
$184K |
| 99152 |
|
1,826 |
1,522 |
$13K |
| 76937 |
|
962 |
828 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
45 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
53 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,676 |
1,385 |
$2K |
| 93990 |
|
61 |
57 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67 |
59 |
$793.90 |
| 77001 |
|
30 |
26 |
$749.28 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
25 |
$580.76 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,263 |
1,123 |
$412.15 |
| 36907 |
|
12 |
12 |
$324.20 |
| 99153 |
Mod sedat endo service >5yrs |
127 |
104 |
$316.48 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,299 |
1,149 |
$77.47 |
| 6030F |
|
320 |
272 |
$0.00 |
| 1036F |
|
458 |
382 |
$0.00 |
| 1123F |
|
142 |
134 |
$0.00 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
1,853 |
1,586 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,259 |
1,064 |
$0.00 |
| 6045F |
|
25 |
20 |
$0.00 |