| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1568 |
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg |
1,417 |
384 |
$2.00M |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
514 |
363 |
$342K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,317 |
1,825 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,366 |
1,066 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
213 |
174 |
$20K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,128 |
498 |
$17K |
| 64615 |
|
351 |
269 |
$13K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
906 |
369 |
$5K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
660 |
287 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
37 |
$2K |
| 95886 |
|
31 |
26 |
$1K |
| 95909 |
|
15 |
13 |
$1K |
| 95885 |
|
45 |
38 |
$951.62 |
| 95816 |
|
43 |
39 |
$637.28 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
768 |
367 |
$496.02 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
64 |
46 |
$36.86 |
| 1036F |
|
161 |
95 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
71 |
44 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
240 |
139 |
$0.00 |
| 1124F |
|
58 |
57 |
$0.00 |