| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,902 |
4,318 |
$194K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
861 |
857 |
$124K |
| 99233 |
Prolong inpt eval add15 m |
4,003 |
1,065 |
$121K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
4,378 |
3,304 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,462 |
2,925 |
$72K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
4,453 |
2,066 |
$71K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
5,905 |
1,943 |
$70K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,562 |
663 |
$36K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,935 |
1,511 |
$34K |
| 99335 |
|
1,462 |
1,437 |
$33K |
| J3490 |
Unclassified drugs |
4,279 |
1,217 |
$32K |
| 99223 |
Prolong inpt eval add15 m |
261 |
252 |
$18K |
| 99349 |
|
895 |
861 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,559 |
6,254 |
$15K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
98 |
62 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,310 |
1,204 |
$12K |
| 80053 |
Comprehensive metabolic panel |
8,511 |
5,566 |
$9K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,190 |
627 |
$8K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,740 |
498 |
$3K |
| 99306 |
Prolong nursin fac eval 15m |
70 |
66 |
$3K |
| 85046 |
|
2,058 |
985 |
$3K |
| 82728 |
|
1,724 |
1,171 |
$2K |
| 83615 |
|
2,215 |
1,241 |
$2K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
3,121 |
1,108 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,581 |
828 |
$2K |
| 83735 |
|
4,022 |
2,306 |
$2K |
| 85651 |
|
1,081 |
915 |
$2K |
| 83550 |
|
1,627 |
1,138 |
$1K |
| 83540 |
|
1,677 |
1,136 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
176 |
41 |
$942.49 |
| 96367 |
|
230 |
112 |
$886.37 |
| 82378 |
|
375 |
341 |
$676.42 |
| J7050 |
Infusion, normal saline solution, 250 cc |
921 |
515 |
$588.11 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,220 |
288 |
$491.41 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
195 |
192 |
$393.44 |
| 90694 |
|
14 |
14 |
$377.33 |
| 36415 |
Collection of venous blood by venipuncture |
4,032 |
2,358 |
$368.41 |
| 86141 |
|
949 |
804 |
$332.04 |
| 80076 |
|
281 |
143 |
$305.86 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
121 |
38 |
$255.24 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
162 |
24 |
$186.60 |
| 86300 |
|
43 |
38 |
$156.58 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
243 |
125 |
$143.77 |
| 84443 |
Thyroid stimulating hormone (TSH) |
383 |
376 |
$134.17 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
199 |
80 |
$128.12 |
| 85379 |
|
74 |
54 |
$64.83 |
| G0008 |
Administration of influenza virus vaccine |
111 |
111 |
$49.50 |
| 90674 |
|
66 |
66 |
$46.18 |
| 84436 |
|
168 |
165 |
$43.66 |
| 82746 |
|
77 |
70 |
$42.63 |
| 84479 |
|
169 |
166 |
$41.91 |
| 82397 |
|
416 |
364 |
$38.82 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
103 |
103 |
$36.13 |
| 80061 |
Lipid panel |
180 |
180 |
$33.35 |
| 90688 |
|
36 |
36 |
$22.30 |
| 83721 |
|
198 |
198 |
$16.44 |
| 85384 |
|
77 |
56 |
$12.36 |
| 84481 |
|
60 |
60 |
$11.81 |
| 85610 |
|
78 |
55 |
$9.11 |
| 85730 |
|
33 |
27 |
$8.65 |
| 84550 |
|
135 |
129 |
$8.36 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
19 |
14 |
$5.13 |
| 85670 |
|
75 |
55 |
$0.00 |
| 90653 |
|
17 |
17 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
177 |
139 |
$0.00 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
26 |
13 |
$0.00 |
| 82607 |
|
69 |
65 |
$0.00 |
| 82533 |
|
44 |
43 |
$0.00 |
| 82784 |
|
19 |
13 |
$0.00 |
| 81001 |
|
13 |
13 |
$0.00 |