| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,546 |
21,537 |
$3.37M |
| J1568 |
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg |
263 |
152 |
$807K |
| 99233 |
Prolong inpt eval add15 m |
6,696 |
1,684 |
$771K |
| 80050 |
General health panel |
13,040 |
9,805 |
$363K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,769 |
3,889 |
$171K |
| 99215 |
Prolong outpt/office vis |
1,293 |
1,069 |
$152K |
| 99205 |
Prolong outpt/office vis |
548 |
517 |
$143K |
| T1015 |
Clinic visit/encounter, all-inclusive |
472 |
373 |
$135K |
| 99245 |
|
576 |
547 |
$128K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,510 |
12,647 |
$101K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
893 |
864 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,322 |
1,200 |
$90K |
| 76000 |
|
1,712 |
1,500 |
$87K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
730 |
419 |
$87K |
| 82977 |
|
13,741 |
10,262 |
$75K |
| 96409 |
|
1,026 |
513 |
$74K |
| 83735 |
|
13,683 |
10,221 |
$71K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,324 |
805 |
$69K |
| 99223 |
Prolong inpt eval add15 m |
309 |
271 |
$68K |
| 83615 |
|
13,750 |
10,272 |
$64K |
| 84478 |
|
13,668 |
10,198 |
$58K |
| 82248 |
|
13,760 |
10,278 |
$53K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
264 |
251 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
305 |
292 |
$53K |
| 84100 |
|
13,764 |
10,266 |
$50K |
| 84550 |
|
13,748 |
10,266 |
$48K |
| 82728 |
|
4,179 |
3,797 |
$46K |
| 82465 |
|
13,671 |
10,201 |
$44K |
| 85045 |
|
10,584 |
8,232 |
$33K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,174 |
690 |
$29K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
576 |
425 |
$20K |
| 83550 |
|
3,360 |
3,096 |
$20K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
2,195 |
1,018 |
$18K |
| 82784 |
|
1,163 |
1,019 |
$17K |
| 83540 |
|
3,360 |
3,096 |
$16K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
128 |
118 |
$15K |
| 99070 |
|
4,287 |
2,003 |
$8K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
2,599 |
1,206 |
$8K |
| 25600 |
|
19 |
17 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
3,353 |
2,882 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
137 |
65 |
$4K |
| 80053 |
Comprehensive metabolic panel |
597 |
405 |
$4K |
| J9370 |
Vincristine sulfate, 1 mg |
596 |
326 |
$4K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
3,379 |
2,062 |
$3K |
| 96450 |
|
24 |
14 |
$3K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
77 |
39 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
2,344 |
1,150 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,041 |
1,914 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
56 |
26 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
16 |
16 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
42 |
25 |
$1K |
| 86140 |
|
290 |
267 |
$1K |
| Q4012 |
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass |
18 |
14 |
$1K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
18 |
12 |
$651.19 |
| 84439 |
|
74 |
73 |
$525.84 |
| 85652 |
|
249 |
222 |
$519.67 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
24 |
$488.72 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
93 |
69 |
$175.63 |
| J9260 |
Injection, methotrexate sodium, 50 mg |
61 |
36 |
$134.70 |
| 81002 |
|
19 |
13 |
$30.70 |
| J2060 |
Injection, lorazepam, 2 mg |
16 |
13 |
$13.56 |
| 99024 |
|
1,333 |
1,073 |
$0.00 |
| 36591 |
|
54 |
37 |
$0.00 |