| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,585 |
943 |
$138K |
| 99215 |
Prolong outpt/office vis |
1,188 |
1,005 |
$91K |
| 99223 |
Prolong inpt eval add15 m |
798 |
737 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,234 |
1,175 |
$68K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,534 |
738 |
$66K |
| 99233 |
Prolong inpt eval add15 m |
435 |
238 |
$24K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
733 |
343 |
$21K |
| 96367 |
|
1,396 |
666 |
$20K |
| 99205 |
Prolong outpt/office vis |
132 |
129 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,130 |
1,455 |
$13K |
| 96417 |
|
402 |
232 |
$10K |
| 80053 |
Comprehensive metabolic panel |
1,124 |
827 |
$10K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,402 |
669 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
589 |
327 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107 |
72 |
$4K |
| 96415 |
|
225 |
139 |
$3K |
| 96523 |
|
221 |
167 |
$3K |
| 96411 |
|
113 |
62 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,807 |
1,226 |
$2K |
| 96416 |
|
45 |
26 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
63 |
26 |
$2K |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
906 |
444 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,458 |
667 |
$1K |
| J0640 |
Injection, leucovorin calcium, per 50 mg |
76 |
37 |
$1K |
| J9263 |
Injection, oxaliplatin, 0.5 mg |
30 |
13 |
$941.34 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$764.70 |
| J9190 |
Injection, fluorouracil, 500 mg |
50 |
26 |
$470.28 |
| 85610 |
|
142 |
79 |
$457.05 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
104 |
78 |
$150.18 |
| J7050 |
Infusion, normal saline solution, 250 cc |
328 |
198 |
$138.70 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
114 |
52 |
$100.68 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
27 |
12 |
$25.64 |