| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36902 |
|
365 |
360 |
$53K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
163 |
162 |
$11K |
| 93925 |
|
32 |
32 |
$3K |
| 36907 |
|
43 |
43 |
$2K |
| 99152 |
|
86 |
84 |
$2K |
| 93970 |
|
16 |
16 |
$2K |
| 93971 |
|
29 |
28 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38 |
37 |
$1K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
276 |
138 |
$785.92 |
| 99442 |
|
12 |
12 |
$785.82 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$650.02 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
15 |
12 |
$562.85 |
| 76937 |
|
46 |
42 |
$527.51 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
26 |
$517.49 |
| 99153 |
Mod sedat endo service >5yrs |
13 |
13 |
$81.47 |