| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,449 |
8,517 |
$600K |
| 96401 |
|
1,611 |
427 |
$33K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
505 |
298 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
665 |
412 |
$18K |
| 20610 |
|
423 |
178 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
3,364 |
2,651 |
$5K |
| 99215 |
Prolong outpt/office vis |
53 |
37 |
$3K |
| 20553 |
|
130 |
81 |
$2K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
57 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
156 |
101 |
$1K |
| J9260 |
Injection, methotrexate sodium, 50 mg |
1,429 |
369 |
$1K |
| 72100 |
|
22 |
12 |
$253.94 |
| 80305 |
|
27 |
14 |
$132.49 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
165 |
105 |
$127.11 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
34 |
17 |
$49.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
31 |
12 |
$5.47 |