| Code | Description | Claims | Beneficiaries | Total Paid |
| 37229 |
|
1,276 |
1,086 |
$1.93M |
| 37252 |
|
938 |
795 |
$1.15M |
| 37253 |
|
901 |
761 |
$276K |
| 75710 |
|
1,377 |
1,168 |
$276K |
| 37225 |
|
277 |
234 |
$205K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,517 |
1,284 |
$199K |
| 99152 |
|
1,310 |
1,106 |
$94K |
| 93925 |
|
2,625 |
2,584 |
$67K |
| 37233 |
|
134 |
115 |
$63K |
| 93970 |
|
1,710 |
1,705 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
981 |
920 |
$17K |
| 99153 |
Mod sedat endo service >5yrs |
857 |
742 |
$16K |
| 36246 |
|
71 |
61 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
278 |
277 |
$6K |
| 36247 |
|
70 |
60 |
$3K |
| 76937 |
|
671 |
557 |
$3K |
| 36245 |
|
71 |
61 |
$2K |
| 93926 |
|
147 |
136 |
$1K |
| 75630 |
|
69 |
61 |
$1K |
| 36200 |
|
71 |
61 |
$1K |
| 36140 |
|
71 |
61 |
$820.99 |
| 76000 |
|
69 |
61 |
$435.14 |
| G9501 |
Radiation exposure indices not documented in final report for procedure using fluoroscopy, reason not given |
25 |
24 |
$0.00 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
15 |
12 |
$0.00 |
| G9639 |
Major amputation or open surgical bypass not required within 48 hours of the index endovascular lower extremity revascularization procedure |
15 |
12 |
$0.00 |
| 0518F |
|
25 |
25 |
$0.00 |
| 1123F |
|
866 |
760 |
$0.00 |