| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,163 |
951 |
$71K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
28 |
28 |
$9K |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
115 |
96 |
$5K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
78 |
68 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
72 |
57 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$1K |
| J3360 |
Injection, diazepam, up to 5 mg |
28 |
25 |
$184.04 |
| 82272 |
|
115 |
113 |
$181.42 |
| 36410 |
|
44 |
42 |
$155.53 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
28 |
25 |
$118.35 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
31 |
27 |
$70.43 |
| J3490 |
Unclassified drugs |
14 |
13 |
$39.29 |
| 36415 |
Collection of venous blood by venipuncture |
41 |
38 |
$27.00 |
| A4550 |
Surgical trays |
53 |
42 |
$0.00 |
| 94761 |
|
69 |
55 |
$0.00 |
| 36000 |
|
82 |
67 |
$0.00 |