| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,517 |
5,081 |
$361K |
| 99215 |
Prolong outpt/office vis |
2,710 |
2,475 |
$278K |
| 95819 |
|
808 |
796 |
$239K |
| 99205 |
Prolong outpt/office vis |
1,345 |
1,296 |
$173K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
786 |
750 |
$75K |
| 95957 |
|
632 |
598 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
942 |
662 |
$42K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
570 |
138 |
$27K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
522 |
136 |
$22K |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
383 |
112 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
111 |
100 |
$10K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
392 |
114 |
$7K |
| 36410 |
|
357 |
97 |
$4K |
| 92546 |
|
30 |
25 |
$2K |
| 95800 |
|
15 |
13 |
$2K |
| 93041 |
|
531 |
124 |
$2K |
| 99490 |
Ccm add 20min |
229 |
176 |
$1K |
| 92540 |
|
15 |
12 |
$1K |
| J3490 |
Unclassified drugs |
222 |
69 |
$1K |
| 99417 |
Prolong home eval add 15m |
198 |
53 |
$878.60 |
| 92537 |
|
30 |
25 |
$820.50 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
403 |
108 |
$423.85 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
479 |
118 |
$111.85 |
| E0776 |
Iv pole |
429 |
124 |
$28.38 |
| A4218 |
Sterile saline or water, metered dose dispenser, 10 ml |
392 |
99 |
$0.00 |