| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,264 |
11,917 |
$711K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,173 |
4,921 |
$180K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,470 |
812 |
$84K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,044 |
12,488 |
$82K |
| 36415 |
Collection of venous blood by venipuncture |
15,898 |
11,410 |
$77K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13,020 |
9,048 |
$63K |
| 80076 |
|
12,313 |
8,744 |
$52K |
| 96367 |
|
364 |
202 |
$13K |
| 99215 |
Prolong outpt/office vis |
175 |
143 |
$11K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
248 |
56 |
$10K |
| 83615 |
|
3,798 |
2,977 |
$9K |
| S9999 |
Sales tax |
5,137 |
3,111 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,364 |
875 |
$8K |
| 82728 |
|
842 |
732 |
$6K |
| 83735 |
|
1,038 |
694 |
$4K |
| 82378 |
|
310 |
270 |
$4K |
| 96417 |
|
45 |
24 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
40 |
37 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
49 |
26 |
$2K |
| 84550 |
|
1,217 |
806 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
171 |
124 |
$1K |
| 84100 |
|
1,004 |
680 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$825.43 |
| 80053 |
Comprehensive metabolic panel |
186 |
143 |
$789.39 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
276 |
137 |
$203.08 |
| S0028 |
Injection, famotidine, 20 mg |
339 |
148 |
$184.79 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
58 |
25 |
$81.11 |
| 84153 |
|
16 |
12 |
$80.03 |
| J1453 |
Injection, fosaprepitant, 1 mg |
21 |
13 |
$51.04 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
97 |
52 |
$50.32 |
| J3490 |
Unclassified drugs |
34 |
12 |
$10.69 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
53 |
27 |
$9.91 |