| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96367 |
|
8,059 |
2,206 |
$262K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
8,131 |
2,203 |
$143K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
8,519 |
2,321 |
$136K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,379 |
2,039 |
$123K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
8,191 |
2,213 |
$112K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
6,767 |
1,947 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,285 |
1,440 |
$60K |
| J1750 |
Injection, iron dextran, 50 mg |
2,286 |
760 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,390 |
2,959 |
$16K |
| 99490 |
Ccm add 20min |
858 |
815 |
$9K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
7,229 |
2,083 |
$8K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
8,813 |
2,890 |
$5K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
8,862 |
2,350 |
$4K |
| 99215 |
Prolong outpt/office vis |
80 |
69 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,657 |
1,834 |
$3K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
2,845 |
638 |
$3K |
| 99205 |
Prolong outpt/office vis |
34 |
30 |
$3K |
| J3490 |
Unclassified drugs |
6,598 |
1,607 |
$2K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
6,709 |
2,038 |
$2K |
| J2780 |
Injection, ranitidine hydrochloride, 25 mg |
561 |
179 |
$2K |
| S0028 |
Injection, famotidine, 20 mg |
551 |
168 |
$474.92 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
8,103 |
2,212 |
$410.36 |
| J1940 |
Injection, furosemide, up to 20 mg |
2,107 |
638 |
$257.87 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
39 |
14 |
$217.41 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
559 |
207 |
$128.13 |
| 82947 |
|
200 |
66 |
$115.94 |
| 36415 |
Collection of venous blood by venipuncture |
101 |
81 |
$74.01 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
137 |
37 |
$66.95 |
| 94760 |
|
23 |
12 |
$25.62 |