| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,002 |
7,627 |
$507K |
| 76881 |
|
4,582 |
2,266 |
$335K |
| J3262 |
Injection, tocilizumab, 1 mg |
377 |
268 |
$267K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,889 |
4,460 |
$193K |
| 86235 |
|
1,287 |
1,284 |
$158K |
| J0129 |
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
131 |
109 |
$157K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,519 |
2,176 |
$125K |
| 99443 |
|
694 |
661 |
$63K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
378 |
373 |
$43K |
| 86480 |
|
630 |
628 |
$38K |
| 86481 |
|
362 |
362 |
$36K |
| 99442 |
|
494 |
467 |
$32K |
| 80053 |
Comprehensive metabolic panel |
2,602 |
2,570 |
$28K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,897 |
2,863 |
$23K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
3,310 |
3,184 |
$19K |
| 86225 |
|
1,284 |
1,281 |
$17K |
| 86800 |
|
1,060 |
1,057 |
$16K |
| 86200 |
|
1,274 |
1,271 |
$16K |
| 86226 |
|
1,290 |
1,287 |
$15K |
| 86376 |
|
1,061 |
1,058 |
$15K |
| 83516 |
|
656 |
653 |
$15K |
| 86140 |
|
2,619 |
2,597 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
3,391 |
3,272 |
$13K |
| 84443 |
Thyroid stimulating hormone (TSH) |
751 |
746 |
$12K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
732 |
710 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
909 |
861 |
$11K |
| 76882 |
|
263 |
140 |
$10K |
| 85652 |
|
3,379 |
3,353 |
$9K |
| 76942 |
|
207 |
193 |
$8K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
155 |
79 |
$8K |
| 96415 |
|
162 |
130 |
$6K |
| 86431 |
|
654 |
651 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
41 |
41 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
67 |
65 |
$1K |
| 90674 |
|
45 |
45 |
$895.62 |
| 90756 |
|
62 |
60 |
$826.45 |
| 20552 |
|
13 |
13 |
$614.79 |
| 99305 |
|
27 |
27 |
$596.56 |
| 20611 |
|
14 |
13 |
$571.47 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
57 |
57 |
$423.82 |
| 96401 |
|
24 |
12 |
$256.11 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
64 |
49 |
$235.58 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
18 |
12 |
$235.27 |
| 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) |
40 |
40 |
$95.55 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
17 |
15 |
$67.59 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
65 |
55 |
$59.05 |