| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
2,820 |
2,701 |
$317K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,061 |
2,975 |
$272K |
| J1950 |
Injection, leuprolide acetate (for depot suspension), per 3.75 mg |
14 |
12 |
$49K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
351 |
341 |
$4K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
71 |
65 |
$750.96 |
| A4550 |
Surgical trays |
13 |
13 |
$721.63 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
13 |
13 |
$714.15 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
13 |
13 |
$651.69 |
| 36416 |
|
181 |
177 |
$497.95 |
| 36000 |
|
13 |
13 |
$203.46 |
| 36415 |
Collection of venous blood by venipuncture |
41 |
41 |
$108.62 |
| 99000 |
|
13 |
13 |
$38.87 |