| Code | Description | Claims | Beneficiaries | Total Paid |
| 93990 |
|
347 |
289 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,515 |
1,234 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
434 |
352 |
$2K |
| 36902 |
|
109 |
94 |
$1K |
| 76937 |
|
1,519 |
913 |
$558.25 |
| G0365 |
Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow) |
16 |
12 |
$383.94 |
| 93986 |
|
27 |
24 |
$274.44 |
| 80047 |
|
1,253 |
890 |
$178.96 |
| 77001 |
|
16 |
14 |
$143.60 |
| 99152 |
|
1,406 |
1,041 |
$104.16 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
15 |
$59.28 |
| 99153 |
Mod sedat endo service >5yrs |
695 |
489 |
$7.49 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
1,425 |
1,048 |
$0.00 |