| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,288 |
2,433 |
$330K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,216 |
1,488 |
$29K |
| 80305 |
|
2,523 |
1,703 |
$20K |
| 99407 |
|
1,252 |
608 |
$18K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
794 |
433 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
115 |
63 |
$7K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
157 |
65 |
$6K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
68 |
26 |
$2K |
| 99406 |
|
206 |
95 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
65 |
25 |
$1K |
| 96127 |
|
466 |
218 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
34 |
12 |
$621.18 |
| 36000 |
|
36 |
13 |
$412.92 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
31 |
13 |
$236.80 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
20 |
12 |
$200.00 |
| 96367 |
|
27 |
12 |
$182.58 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
31 |
13 |
$144.25 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
14 |
$137.80 |
| J3415 |
Injection, pyridoxine hcl, 100 mg |
22 |
12 |
$100.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
171 |
93 |
$65.95 |
| A4217 |
Sterile water/saline, 500 ml |
26 |
12 |
$29.19 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
30 |
13 |
$7.17 |
| J3490 |
Unclassified drugs |
24 |
12 |
$0.00 |