| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
390 |
303 |
$20K |
| 99205 |
Prolong outpt/office vis |
27 |
24 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
40 |
$1K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
34 |
24 |
$27.32 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
448 |
228 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
127 |
51 |
$0.00 |
| Q0138 |
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) |
43 |
26 |
$0.00 |
| 96367 |
|
307 |
99 |
$0.00 |