| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36902 |
|
2,468 |
2,046 |
$537K |
| 36907 |
|
2,249 |
1,822 |
$249K |
| 99152 |
|
4,746 |
3,714 |
$48K |
| 37229 |
|
15 |
14 |
$46K |
| 93925 |
|
479 |
442 |
$44K |
| 93970 |
|
336 |
329 |
$42K |
| 37225 |
|
15 |
12 |
$40K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
8,858 |
4,283 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
288 |
246 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
137 |
122 |
$7K |
| 37252 |
|
17 |
16 |
$6K |
| 93971 |
|
75 |
56 |
$6K |
| 36215 |
|
73 |
41 |
$5K |
| 75827 |
|
208 |
142 |
$4K |
| 99215 |
Prolong outpt/office vis |
58 |
52 |
$4K |
| 36905 |
|
16 |
14 |
$3K |
| 93990 |
|
44 |
40 |
$3K |
| 37253 |
|
17 |
16 |
$3K |
| 75710 |
|
81 |
56 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,698 |
2,682 |
$2K |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
244 |
207 |
$971.08 |
| 75625 |
|
17 |
16 |
$764.09 |
| 76937 |
|
39 |
32 |
$412.63 |
| 93923 |
|
12 |
12 |
$276.67 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
5,391 |
4,026 |
$270.79 |
| 99072 |
|
118 |
89 |
$117.80 |
| J1644 |
Injection, heparin sodium, per 1000 units |
38 |
28 |
$9.38 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
2,883 |
2,099 |
$0.00 |
| 1124F |
|
556 |
464 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
346 |
259 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,499 |
1,200 |
$0.00 |
| 4040F |
|
578 |
452 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
186 |
146 |
$0.00 |
| 1036F |
|
813 |
650 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
803 |
646 |
$0.00 |
| 6030F |
|
117 |
78 |
$0.00 |
| 99024 |
|
16 |
13 |
$0.00 |