| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,456 |
662 |
$108.54 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
599 |
321 |
$73.10 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,704 |
991 |
$72.83 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
381 |
89 |
$56.48 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
710 |
390 |
$17.61 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,762 |
752 |
$2.82 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
804 |
412 |
$1.83 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
261 |
192 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
488 |
346 |
$0.00 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
69 |
37 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
303 |
247 |
$0.00 |
| J3490 |
Unclassified drugs |
585 |
296 |
$0.00 |
| 1125F |
|
26 |
24 |
$0.00 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
73 |
38 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
13 |
13 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
665 |
373 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,103 |
544 |
$0.00 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
33 |
27 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,519 |
654 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
254 |
157 |
$0.00 |
| 1126F |
|
111 |
44 |
$0.00 |
| 3074F |
|
106 |
51 |
$0.00 |
| 1170F |
|
172 |
84 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
52 |
46 |
$0.00 |
| 1157F |
|
101 |
40 |
$0.00 |
| 3079F |
|
34 |
12 |
$0.00 |
| 3008F |
|
118 |
43 |
$0.00 |
| 3075F |
|
39 |
13 |
$0.00 |
| 1159F |
|
261 |
141 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
884 |
258 |
$0.00 |
| J2300 |
Injection, nalbuphine hydrochloride, per 10 mg |
813 |
233 |
$0.00 |
| 96160 |
|
284 |
144 |
$0.00 |
| 1160F |
|
261 |
141 |
$0.00 |
| 3078F |
|
184 |
94 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
109 |
40 |
$0.00 |
| 3077F |
|
83 |
39 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
94 |
86 |
$0.00 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
53 |
46 |
$0.00 |
| 99397 |
|
34 |
31 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
37 |
14 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
145 |
55 |
$0.00 |