| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,410 |
5,938 |
$474K |
| J1750 |
Injection, iron dextran, 50 mg |
2,892 |
1,339 |
$132K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
4,747 |
2,160 |
$130K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
944 |
793 |
$75K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,585 |
574 |
$64K |
| Q0138 |
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) |
150 |
96 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
933 |
758 |
$42K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,013 |
2,207 |
$35K |
| 99222 |
Initial hospital care, per day, moderate complexity |
579 |
464 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,799 |
5,978 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
206 |
158 |
$9K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
569 |
228 |
$7K |
| J1756 |
Injection, iron sucrose, 1 mg |
163 |
45 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,882 |
2,232 |
$3K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
4,088 |
1,811 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
4,146 |
3,212 |
$1K |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
25 |
12 |
$16.31 |
| J2780 |
Injection, ranitidine hydrochloride, 25 mg |
79 |
35 |
$14.40 |