| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 37229 |
|
130 |
101 |
$485K |
| 37252 |
|
440 |
352 |
$179K |
| 37225 |
|
51 |
42 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,153 |
1,987 |
$111K |
| 37253 |
|
401 |
321 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
235 |
235 |
$17K |
| 76937 |
|
575 |
458 |
$9K |
| 99152 |
|
482 |
397 |
$9K |
| 93000 |
|
1,251 |
1,234 |
$8K |
| 99153 |
Mod sedat endo service >5yrs |
363 |
293 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
51 |
51 |
$4K |
| 93971 |
|
65 |
64 |
$4K |
| 93926 |
|
62 |
54 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
96 |
91 |
$4K |
| 75710 |
|
76 |
64 |
$3K |
| 93970 |
|
24 |
24 |
$2K |
| 99406 |
|
154 |
151 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
360 |
183 |
$514.07 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
194 |
109 |
$209.22 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
339 |
242 |
$95.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15 |
14 |
$57.15 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
363 |
215 |
$0.69 |