| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93925 |
|
783 |
686 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
957 |
895 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
324 |
316 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
198 |
158 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$512.53 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
17 |
$483.59 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
500 |
236 |
$249.95 |
| 99152 |
|
102 |
92 |
$73.92 |
| 99153 |
Mod sedat endo service >5yrs |
58 |
51 |
$7.61 |