| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
94 |
90 |
$434K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
143 |
133 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
155 |
144 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
575 |
529 |
$11K |
| 82728 |
|
266 |
235 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
47 |
$4K |
| 85045 |
|
279 |
248 |
$3K |
| 80076 |
|
110 |
106 |
$2K |
| 83550 |
|
55 |
54 |
$1K |
| 86140 |
|
84 |
81 |
$991.25 |
| 85651 |
|
116 |
112 |
$939.55 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$809.40 |
| 85027 |
|
14 |
12 |
$212.87 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
12 |
$87.09 |
| J7050 |
Infusion, normal saline solution, 250 cc |
28 |
26 |
$13.16 |