| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 37227 |
|
347 |
267 |
$146K |
| 36465 |
|
440 |
333 |
$139K |
| 37231 |
|
346 |
264 |
$92K |
| 36247 |
|
227 |
187 |
$48K |
| 37220 |
|
157 |
113 |
$45K |
| 36902 |
|
175 |
170 |
$40K |
| 37252 |
|
657 |
536 |
$32K |
| 37221 |
|
64 |
53 |
$32K |
| 93970 |
|
1,027 |
1,018 |
$22K |
| 37235 |
|
85 |
73 |
$18K |
| 93925 |
|
466 |
463 |
$14K |
| 93923 |
|
268 |
268 |
$9K |
| 93971 |
|
374 |
361 |
$9K |
| 37233 |
|
92 |
77 |
$8K |
| 75625 |
|
285 |
219 |
$6K |
| 37253 |
|
624 |
508 |
$5K |
| 75710 |
|
236 |
184 |
$4K |
| 76937 |
|
661 |
547 |
$3K |
| 36200 |
|
29 |
25 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
217 |
202 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
154 |
150 |
$2K |
| 37222 |
|
31 |
26 |
$2K |
| 75736 |
|
17 |
13 |
$937.68 |
| 71046 |
Radiologic examination, chest; 2 views |
131 |
130 |
$929.64 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
50 |
50 |
$836.36 |
| 36140 |
|
20 |
16 |
$811.01 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
90 |
89 |
$617.72 |
| 99152 |
|
101 |
99 |
$532.64 |
| 76000 |
|
83 |
69 |
$503.48 |
| 75716 |
|
14 |
12 |
$192.96 |
| 99306 |
Prolong nursin fac eval 15m |
12 |
12 |
$167.25 |
| 99307 |
|
51 |
43 |
$124.48 |
| 99304 |
|
12 |
12 |
$112.13 |
| 36248 |
|
15 |
12 |
$111.04 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
41 |
27 |
$82.00 |
| 71045 |
Radiologic examination, chest; single view |
12 |
12 |
$58.48 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
23 |
12 |
$47.80 |
| 99153 |
Mod sedat endo service >5yrs |
24 |
24 |
$21.66 |
| 36482 |
|
42 |
31 |
$0.00 |