| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76937 |
|
846 |
663 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
232 |
210 |
$5K |
| 99153 |
Mod sedat endo service >5yrs |
584 |
516 |
$3K |
| 99152 |
|
686 |
611 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
367 |
329 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
37 |
$1K |
| 99205 |
Prolong outpt/office vis |
23 |
18 |
$728.07 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
30 |
$499.41 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$364.93 |
| 77001 |
|
16 |
12 |
$284.91 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
675 |
611 |
$249.09 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
599 |
545 |
$65.89 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
24 |
24 |
$8.82 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
28 |
25 |
$0.00 |
| 1124F |
|
72 |
66 |
$0.00 |