| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,334 |
1,275 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
541 |
518 |
$32K |
| 93922 |
|
456 |
446 |
$13K |
| 93925 |
|
151 |
147 |
$13K |
| 93978 |
|
83 |
82 |
$6K |
| 36902 |
|
24 |
24 |
$3K |
| 93990 |
|
29 |
29 |
$2K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
252 |
242 |
$2K |
| 93970 |
|
26 |
26 |
$2K |
| 93971 |
|
88 |
86 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
432 |
414 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
587 |
366 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
29 |
$697.32 |
| 99152 |
|
40 |
40 |
$431.38 |
| 76937 |
|
12 |
12 |
$110.09 |
| 99406 |
|
13 |
13 |
$103.94 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
246 |
232 |
$73.96 |
| 82947 |
|
25 |
24 |
$26.40 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
429 |
403 |
$0.75 |
| 3078F |
|
107 |
100 |
$0.00 |
| 3077F |
|
73 |
67 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |
| 3074F |
|
61 |
57 |
$0.00 |