| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,831 |
501 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
607 |
576 |
$24K |
| 90962 |
|
145 |
139 |
$16K |
| 99222 |
Initial hospital care, per day, moderate complexity |
183 |
160 |
$6K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
62 |
58 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41 |
41 |
$587.77 |
| 99233 |
Prolong inpt eval add15 m |
25 |
12 |
$550.46 |
| 36902 |
|
12 |
12 |
$136.03 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
194 |
183 |
$92.68 |
| 99152 |
|
13 |
13 |
$7.49 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
28 |
26 |
$1.83 |