| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 37229 |
|
377 |
177 |
$190K |
| 37225 |
|
19 |
14 |
$43K |
| 93925 |
|
887 |
679 |
$29K |
| 37233 |
|
91 |
51 |
$15K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
600 |
158 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
512 |
343 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
613 |
446 |
$7K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
147 |
75 |
$5K |
| 75716 |
|
37 |
24 |
$2K |
| 93000 |
|
539 |
392 |
$1K |
| 75630 |
|
55 |
27 |
$694.30 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
50 |
$387.57 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
13 |
$344.71 |
| 99307 |
|
39 |
33 |
$319.01 |
| J2720 |
Injection, protamine sulfate, per 10 mg |
425 |
193 |
$128.98 |
| 80047 |
|
151 |
89 |
$102.32 |
| 93922 |
|
29 |
19 |
$87.48 |
| 85014 |
|
131 |
76 |
$55.58 |
| 85018 |
|
113 |
64 |
$50.48 |
| J7050 |
Infusion, normal saline solution, 250 cc |
75 |
41 |
$20.42 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
187 |
94 |
$15.24 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
16 |
16 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
14 |
14 |
$0.00 |