| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,538 |
1,226 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
923 |
697 |
$81K |
| 99490 |
Ccm add 20min |
541 |
541 |
$14K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
462 |
142 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
264 |
229 |
$9K |
| 99491 |
Ccm add 20min |
55 |
55 |
$4K |
| 94010 |
|
144 |
144 |
$3K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
454 |
140 |
$3K |
| 51797 |
|
64 |
32 |
$2K |
| 99423 |
|
20 |
13 |
$895.20 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
106 |
41 |
$755.04 |
| 51729 |
|
64 |
32 |
$605.36 |
| 51741 |
|
64 |
32 |
$513.80 |
| J7050 |
Infusion, normal saline solution, 250 cc |
455 |
141 |
$314.19 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
438 |
136 |
$313.10 |
| 93000 |
|
25 |
25 |
$283.04 |
| 51792 |
|
32 |
32 |
$252.68 |
| 51784 |
|
64 |
32 |
$230.37 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
238 |
69 |
$131.52 |