| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,650 |
14,549 |
$806K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
4,673 |
3,129 |
$248K |
| 80053 |
Comprehensive metabolic panel |
22,940 |
17,247 |
$102K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27,697 |
21,017 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,478 |
2,226 |
$72K |
| 99215 |
Prolong outpt/office vis |
876 |
747 |
$51K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,692 |
1,021 |
$27K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
476 |
462 |
$24K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
212 |
209 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
21,606 |
17,183 |
$21K |
| 82728 |
|
1,239 |
1,104 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
278 |
219 |
$8K |
| 83550 |
|
932 |
899 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
651 |
593 |
$4K |
| 83540 |
|
932 |
900 |
$3K |
| 86300 |
|
157 |
141 |
$2K |
| 96402 |
|
81 |
63 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
102 |
90 |
$569.14 |
| 90674 |
|
12 |
12 |
$240.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
281 |
164 |
$206.26 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
15 |
12 |
$102.99 |
| 83615 |
|
25 |
24 |
$76.95 |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
22 |
12 |
$43.28 |
| 0012A |
|
13 |
12 |
$26.21 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| G9678 |
Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation agreement |
182 |
181 |
$0.00 |
| 91301 |
|
13 |
12 |
$0.00 |