| Code | Description | Claims | Beneficiaries | Total Paid |
| J2323 |
Injection, natalizumab, 1 mg |
833 |
726 |
$727K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,403 |
3,216 |
$185K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,439 |
1,177 |
$125K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,106 |
1,068 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,444 |
1,359 |
$51K |
| 99215 |
Prolong outpt/office vis |
459 |
439 |
$37K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
220 |
214 |
$28K |
| 96415 |
|
908 |
783 |
$22K |
| 64615 |
|
200 |
184 |
$18K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
274 |
173 |
$13K |
| 95886 |
|
132 |
113 |
$13K |
| 99205 |
Prolong outpt/office vis |
107 |
101 |
$12K |
| 95816 |
|
57 |
52 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
406 |
310 |
$8K |
| 96116 |
|
81 |
78 |
$7K |
| 63047 |
|
18 |
13 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
96 |
$6K |
| 96119 |
|
43 |
38 |
$5K |
| 96118 |
|
28 |
27 |
$4K |
| 95910 |
|
29 |
24 |
$3K |
| 22853 |
|
21 |
12 |
$2K |
| 95911 |
|
14 |
12 |
$1K |
| 63048 |
|
19 |
13 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
30 |
17 |
$966.33 |
| 99152 |
|
54 |
51 |
$922.71 |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
380 |
267 |
$844.98 |
| 96120 |
|
40 |
36 |
$462.27 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
115 |
99 |
$445.76 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
48 |
44 |
$437.21 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
15 |
13 |
$50.75 |
| J7050 |
Infusion, normal saline solution, 250 cc |
103 |
87 |
$26.18 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
426 |
299 |
$13.29 |
| 20936 |
|
23 |
13 |
$0.00 |
| 20930 |
|
23 |
13 |
$0.00 |