| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,778 |
3,054 |
$276K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,715 |
1,327 |
$77K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
338 |
329 |
$21K |
| 99442 |
|
69 |
63 |
$4K |
| 99215 |
Prolong outpt/office vis |
39 |
19 |
$3K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
123 |
87 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
81 |
$2K |
| 99384 |
|
25 |
25 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
472 |
453 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
31 |
27 |
$931.52 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$810.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
18 |
14 |
$690.44 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
14 |
$624.77 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
62 |
44 |
$556.62 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
120 |
83 |
$270.45 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$143.91 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$13.66 |
| 99452 |
|
13 |
12 |
$0.00 |
| 92558 |
|
14 |
14 |
$0.00 |