| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,015 |
2,886 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,354 |
1,287 |
$70K |
| 93922 |
|
1,475 |
1,444 |
$51K |
| 93880 |
|
393 |
392 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
369 |
363 |
$29K |
| 93970 |
|
253 |
253 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
252 |
252 |
$14K |
| 93971 |
|
177 |
170 |
$10K |
| 93923 |
|
84 |
84 |
$6K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
987 |
883 |
$5K |
| 93925 |
|
28 |
28 |
$2K |
| 99221 |
|
25 |
25 |
$1K |
| 76937 |
|
138 |
130 |
$1K |
| 99152 |
|
45 |
42 |
$1K |
| 99406 |
|
142 |
138 |
$963.12 |
| 99153 |
Mod sedat endo service >5yrs |
44 |
41 |
$532.80 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
66 |
62 |
$432.91 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
54 |
47 |
$96.51 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
62 |
56 |
$3.99 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
787 |
709 |
$0.61 |