| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93890 |
|
9,670 |
9,662 |
$1.75M |
| 93886 |
|
9,208 |
9,200 |
$1.73M |
| 93892 |
|
8,875 |
8,869 |
$1.23M |
| 95923 |
|
10,053 |
10,040 |
$888K |
| 92540 |
|
9,781 |
9,772 |
$748K |
| 93922 |
|
10,356 |
10,349 |
$744K |
| 92546 |
|
10,148 |
10,139 |
$732K |
| 95921 |
|
9,447 |
9,441 |
$533K |
| 92537 |
|
10,125 |
10,119 |
$293K |
| 95943 |
|
521 |
521 |
$54K |
| 92270 |
|
602 |
602 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
538 |
499 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
247 |
235 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
185 |
184 |
$13K |
| 95886 |
|
127 |
116 |
$13K |
| 95911 |
|
34 |
31 |
$6K |
| 95912 |
|
17 |
16 |
$3K |
| 95812 |
|
14 |
14 |
$3K |
| 95905 |
|
14 |
14 |
$841.98 |
| 64615 |
|
12 |
12 |
$535.35 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
28 |
15 |
$102.16 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
27 |
14 |
$0.84 |
| J3411 |
Injection, thiamine hcl, 100 mg |
22 |
12 |
$0.00 |
| 36000 |
|
28 |
15 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
25 |
13 |
$0.00 |