| Code | Description | Claims | Beneficiaries | Total Paid |
| 36902 |
|
1,687 |
1,638 |
$216K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,083 |
3,893 |
$143K |
| 93970 |
|
2,508 |
2,300 |
$103K |
| 93971 |
|
3,440 |
3,227 |
$100K |
| 93923 |
|
1,781 |
1,751 |
$92K |
| 93880 |
|
1,490 |
1,472 |
$83K |
| 93922 |
|
2,771 |
2,627 |
$67K |
| 36907 |
|
1,013 |
975 |
$64K |
| 93926 |
|
1,133 |
1,088 |
$61K |
| 93990 |
|
1,223 |
1,122 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
577 |
552 |
$31K |
| 99152 |
|
2,801 |
2,624 |
$25K |
| 36005 |
|
250 |
243 |
$25K |
| 99215 |
Prolong outpt/office vis |
299 |
285 |
$22K |
| 36901 |
|
147 |
142 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
358 |
325 |
$8K |
| 99221 |
|
161 |
158 |
$8K |
| 99153 |
Mod sedat endo service >5yrs |
1,469 |
1,352 |
$8K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,454 |
3,232 |
$7K |
| 76937 |
|
393 |
357 |
$4K |
| 93924 |
|
39 |
39 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
49 |
$3K |
| 37252 |
|
26 |
25 |
$3K |
| 36581 |
|
13 |
12 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
125 |
60 |
$3K |
| 75625 |
|
66 |
63 |
$2K |
| 77001 |
|
64 |
63 |
$2K |
| 93985 |
|
14 |
14 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
39 |
38 |
$1K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
270 |
267 |
$1K |
| 93986 |
|
15 |
15 |
$804.49 |
| 75716 |
|
13 |
13 |
$719.52 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$512.78 |
| 75820 |
|
13 |
12 |
$385.09 |
| 37253 |
|
13 |
12 |
$380.36 |
| 75822 |
|
12 |
12 |
$294.79 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
13 |
12 |
$0.00 |