| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111,799 |
105,943 |
$2.25M |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
32,720 |
22,612 |
$1.31M |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14,223 |
9,500 |
$932K |
| J9271 |
Injection, pembrolizumab, 1 mg |
165 |
129 |
$625K |
| 96367 |
|
32,240 |
22,073 |
$515K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
13,218 |
8,596 |
$384K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,552 |
38,871 |
$348K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
11,846 |
11,822 |
$250K |
| 99223 |
Prolong inpt eval add15 m |
4,530 |
4,357 |
$206K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,521 |
3,549 |
$180K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
10,500 |
6,806 |
$166K |
| 99233 |
Prolong inpt eval add15 m |
7,281 |
2,681 |
$155K |
| 99215 |
Prolong outpt/office vis |
6,190 |
5,862 |
$123K |
| 99205 |
Prolong outpt/office vis |
3,976 |
3,963 |
$108K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,188 |
2,770 |
$105K |
| 96415 |
|
7,689 |
5,725 |
$76K |
| J0897 |
Injection, denosumab, 1 mg |
117 |
112 |
$64K |
| 99442 |
|
7,881 |
7,651 |
$63K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
11,620 |
7,660 |
$56K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,874 |
3,313 |
$32K |
| 96417 |
|
4,492 |
3,382 |
$31K |
| 99222 |
Initial hospital care, per day, moderate complexity |
861 |
841 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,862 |
2,785 |
$22K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
6,781 |
4,116 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,472 |
1,471 |
$20K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
642 |
380 |
$17K |
| G6012 |
Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev |
122 |
13 |
$14K |
| 99000 |
|
8,780 |
6,139 |
$8K |
| J1756 |
Injection, iron sucrose, 1 mg |
715 |
391 |
$8K |
| 77427 |
|
116 |
53 |
$7K |
| 99443 |
|
1,051 |
1,044 |
$5K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
78 |
38 |
$4K |
| J1750 |
Injection, iron dextran, 50 mg |
325 |
193 |
$4K |
| 99441 |
|
951 |
942 |
$4K |
| 77336 |
|
124 |
57 |
$4K |
| 96127 |
|
1,433 |
1,338 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
790 |
624 |
$3K |
| 99255 |
|
112 |
109 |
$3K |
| J3489 |
Injection, zoledronic acid, 1 mg |
217 |
202 |
$3K |
| 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) |
1,985 |
1,909 |
$2K |
| 96402 |
|
527 |
512 |
$2K |
| J9263 |
Injection, oxaliplatin, 0.5 mg |
40 |
26 |
$2K |
| 96368 |
|
400 |
329 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
54 |
27 |
$817.81 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
31 |
12 |
$777.20 |
| M0010 |
Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services |
88 |
88 |
$490.00 |
| 99221 |
|
46 |
43 |
$466.71 |
| J9045 |
Injection, carboplatin, 50 mg |
33 |
27 |
$437.49 |
| 36591 |
|
868 |
664 |
$422.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
37 |
$116.80 |
| 96401 |
|
108 |
51 |
$84.10 |
| 80053 |
Comprehensive metabolic panel |
517 |
468 |
$73.86 |
| 77417 |
|
22 |
12 |
$73.74 |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
30 |
24 |
$62.15 |
| J3490 |
Unclassified drugs |
77 |
53 |
$39.51 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$36.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
676 |
563 |
$28.20 |
| 96523 |
|
16 |
12 |
$23.61 |
| 90688 |
|
16 |
16 |
$0.00 |
| 82728 |
|
14 |
13 |
$0.00 |
| J9267 |
Injection, paclitaxel, 1 mg |
22 |
12 |
$0.00 |