| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,321 |
6,180 |
$332K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,373 |
2,619 |
$177K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
4,042 |
2,049 |
$135K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
3,274 |
998 |
$100K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,065 |
2,370 |
$81K |
| 96367 |
|
3,533 |
1,161 |
$58K |
| J1756 |
Injection, iron sucrose, 1 mg |
2,426 |
1,189 |
$51K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,845 |
798 |
$48K |
| Q5106 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units |
792 |
313 |
$41K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,352 |
4,793 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
233 |
222 |
$34K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
608 |
347 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
695 |
326 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
4,843 |
3,677 |
$9K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
1,538 |
416 |
$8K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
756 |
184 |
$7K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
288 |
253 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
113 |
45 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
423 |
113 |
$2K |
| 83540 |
|
576 |
543 |
$2K |
| 80053 |
Comprehensive metabolic panel |
895 |
763 |
$1K |
| Q0138 |
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) |
18 |
12 |
$1K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,013 |
587 |
$1K |
| 83615 |
|
228 |
215 |
$366.87 |
| 96417 |
|
54 |
12 |
$309.20 |
| 82728 |
|
588 |
552 |
$162.01 |
| 83550 |
|
571 |
538 |
$124.62 |
| 82378 |
|
92 |
85 |
$0.00 |