| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 37252 |
|
13 |
13 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
141 |
126 |
$2K |
| 75710 |
|
62 |
40 |
$2K |
| 93922 |
|
138 |
131 |
$1K |
| 37253 |
|
13 |
13 |
$902.09 |
| 93926 |
|
54 |
53 |
$731.20 |
| 93925 |
|
15 |
14 |
$645.42 |
| 99153 |
Mod sedat endo service >5yrs |
102 |
56 |
$532.19 |
| 99152 |
|
102 |
56 |
$524.37 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$443.31 |
| 99215 |
Prolong outpt/office vis |
27 |
25 |
$306.99 |
| 76937 |
|
113 |
57 |
$303.29 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
95 |
55 |
$71.25 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
101 |
55 |
$25.22 |
| 36415 |
Collection of venous blood by venipuncture |
71 |
44 |
$18.18 |
| 80047 |
|
67 |
41 |
$11.02 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
68 |
41 |
$4.71 |