| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,308 |
3,903 |
$237K |
| 99233 |
Prolong inpt eval add15 m |
4,223 |
853 |
$151K |
| 99223 |
Prolong inpt eval add15 m |
693 |
634 |
$43K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
560 |
218 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
666 |
304 |
$18K |
| 96367 |
|
651 |
270 |
$14K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
606 |
246 |
$9K |
| J1750 |
Injection, iron dextran, 50 mg |
337 |
123 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
466 |
175 |
$5K |
| 99205 |
Prolong outpt/office vis |
25 |
24 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
604 |
102 |
$942.96 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
63 |
30 |
$923.65 |
| J7050 |
Infusion, normal saline solution, 250 cc |
570 |
237 |
$278.84 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
410 |
165 |
$63.72 |
| 99498 |
|
112 |
99 |
$0.00 |
| 99497 |
|
99 |
87 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
12 |
$0.00 |