| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36902 |
|
810 |
793 |
$14K |
| 99152 |
|
2,973 |
2,832 |
$6K |
| 36215 |
|
68 |
64 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
870 |
841 |
$417.53 |
| 6030F |
|
1,611 |
1,536 |
$0.00 |
| G9198 |
Order for first or second generation cephalosporin for antimicrobial prophylaxis was not documented, reason not given |
2,977 |
2,716 |
$0.00 |
| 4044F |
|
3,145 |
2,940 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
769 |
742 |
$0.00 |
| 1111F |
|
1,108 |
1,053 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
771 |
744 |
$0.00 |
| 75710 |
|
68 |
64 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
14 |
12 |
$0.00 |
| G9317 |
Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family not completed |
795 |
759 |
$0.00 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
3,080 |
2,927 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$0.00 |