| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,499 |
2,802 |
$92K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,941 |
1,521 |
$58K |
| 96367 |
|
1,635 |
878 |
$18K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,062 |
1,198 |
$17K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,850 |
1,105 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
628 |
541 |
$12K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
1,148 |
610 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,692 |
1,426 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,799 |
3,053 |
$11K |
| J2780 |
Injection, ranitidine hydrochloride, 25 mg |
1,557 |
695 |
$6K |
| 83605 |
|
1,265 |
1,097 |
$4K |
| 80306 |
|
753 |
666 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,954 |
3,131 |
$3K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
73 |
38 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
39 |
$3K |
| 83735 |
|
1,247 |
1,081 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
973 |
851 |
$713.56 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,103 |
663 |
$499.28 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,358 |
849 |
$423.91 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
979 |
674 |
$370.68 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
705 |
356 |
$253.93 |
| 80069 |
|
461 |
407 |
$148.88 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
30 |
26 |
$114.85 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
51 |
39 |
$70.24 |
| 82565 |
|
470 |
415 |
$44.34 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
113 |
50 |
$28.00 |
| 82947 |
|
456 |
405 |
$21.10 |
| 84520 |
|
463 |
409 |
$18.79 |
| 84295 |
|
465 |
409 |
$10.52 |
| 84132 |
|
462 |
408 |
$10.07 |
| 82040 |
|
470 |
415 |
$6.80 |
| 82310 |
|
471 |
416 |
$4.75 |
| 82374 |
|
463 |
408 |
$4.53 |
| 84100 |
|
468 |
414 |
$4.35 |
| 82435 |
|
465 |
410 |
$4.25 |
| 96523 |
|
113 |
50 |
$3.30 |
| J1561 |
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg |
22 |
12 |
$0.07 |
| J1459 |
Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg |
44 |
27 |
$0.07 |