| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,713 |
1,593 |
$52K |
| Q0138 |
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) |
50 |
29 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
502 |
474 |
$30K |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
26 |
12 |
$22K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
80 |
40 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
178 |
74 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
106 |
106 |
$15K |
| 82728 |
|
188 |
179 |
$14K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,397 |
1,267 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
111 |
107 |
$10K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
69 |
57 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
65 |
36 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67 |
66 |
$6K |
| 82607 |
|
75 |
73 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
52 |
49 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$1K |
| J7050 |
Infusion, normal saline solution, 250 cc |
98 |
51 |
$584.81 |
| 80053 |
Comprehensive metabolic panel |
16 |
15 |
$552.79 |
| 1036F |
|
373 |
358 |
$1.20 |
| 3078F |
|
339 |
322 |
$0.89 |
| 3074F |
|
261 |
249 |
$0.04 |