| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93970 |
|
2,578 |
2,359 |
$63K |
| 93971 |
|
2,993 |
2,752 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
182 |
162 |
$7K |
| 93922 |
|
339 |
301 |
$7K |
| 93880 |
|
31 |
29 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
24 |
$1K |
| 93882 |
|
40 |
37 |
$611.72 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
12 |
$477.42 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
24 |
$353.86 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
72 |
28 |
$92.33 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
33 |
13 |
$43.46 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
19 |
14 |
$0.82 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
133 |
93 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
17 |
13 |
$0.00 |