| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,426 |
4,890 |
$315K |
| 99215 |
Prolong outpt/office vis |
3,661 |
3,175 |
$275K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
4,769 |
1,935 |
$180K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,935 |
904 |
$123K |
| J3490 |
Unclassified drugs |
5,128 |
1,460 |
$107K |
| 96367 |
|
3,914 |
1,712 |
$95K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,445 |
1,484 |
$52K |
| Q0138 |
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) |
122 |
84 |
$36K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,462 |
485 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,928 |
1,477 |
$24K |
| J1750 |
Injection, iron dextran, 50 mg |
633 |
290 |
$21K |
| 99195 |
|
186 |
164 |
$14K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
424 |
348 |
$11K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
344 |
151 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,673 |
1,251 |
$4K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
3,506 |
1,578 |
$2K |
| 96402 |
|
71 |
50 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,071 |
687 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$697.36 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
368 |
209 |
$337.16 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
197 |
48 |
$186.64 |
| J3480 |
Injection, potassium chloride, per 2 meq |
168 |
38 |
$90.56 |
| J7050 |
Infusion, normal saline solution, 250 cc |
106 |
75 |
$57.74 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
12 |
12 |
$31.88 |