| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,915 |
1,276 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
637 |
489 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
357 |
216 |
$10K |
| 36475 |
|
25 |
12 |
$9K |
| 93970 |
|
123 |
81 |
$7K |
| 99152 |
|
741 |
468 |
$6K |
| 99153 |
Mod sedat endo service >5yrs |
629 |
376 |
$2K |
| 93923 |
|
55 |
36 |
$2K |
| 93971 |
|
41 |
26 |
$2K |
| 93978 |
|
45 |
24 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
122 |
75 |
$413.38 |
| 76937 |
|
160 |
95 |
$312.87 |
| J3360 |
Injection, diazepam, up to 5 mg |
516 |
235 |
$112.84 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
125 |
66 |
$6.66 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
494 |
238 |
$0.42 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
14 |
14 |
$0.25 |
| J1644 |
Injection, heparin sodium, per 1000 units |
49 |
41 |
$0.14 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
13 |
13 |
$0.00 |
| 1159F |
|
275 |
89 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
166 |
83 |
$0.00 |
| 1160F |
|
275 |
89 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
89 |
44 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
195 |
112 |
$0.00 |
| 1036F |
|
341 |
168 |
$0.00 |
| 3008F |
|
338 |
84 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
67 |
38 |
$0.00 |