| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
652 |
363 |
$43K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
689 |
376 |
$34K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
54 |
29 |
$2K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
54 |
29 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
764 |
385 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
51 |
29 |
$620.82 |
| J3490 |
Unclassified drugs |
83 |
29 |
$262.12 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
52 |
28 |
$83.52 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
50 |
29 |
$63.90 |