| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,005 |
1,981 |
$81K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
468 |
468 |
$29K |
| 99401 |
|
3,715 |
3,657 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
926 |
913 |
$23K |
| 95819 |
|
50 |
50 |
$5K |
| J3030 |
Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
31 |
26 |
$2K |
| 99490 |
Ccm add 20min |
378 |
378 |
$1K |
| 95923 |
|
30 |
27 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
46 |
40 |
$977.03 |
| 95886 |
|
16 |
14 |
$804.62 |
| 95921 |
|
30 |
27 |
$779.76 |
| 93922 |
|
29 |
27 |
$613.18 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
46 |
40 |
$313.47 |
| 99442 |
|
13 |
13 |
$169.50 |
| 93040 |
|
50 |
50 |
$168.48 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
46 |
40 |
$54.61 |
| 94760 |
|
3,000 |
2,954 |
$50.18 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
32 |
27 |
$22.24 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
31 |
27 |
$15.25 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
31 |
27 |
$11.59 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
15 |
15 |
$10.65 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
15 |
$4.82 |