| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
2,112 |
1,069 |
$5.37M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,867 |
23,873 |
$2.61M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,071 |
5,115 |
$1.05M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,564 |
1,176 |
$232K |
| 99215 |
Prolong outpt/office vis |
2,164 |
1,392 |
$208K |
| 99233 |
Prolong inpt eval add15 m |
1,274 |
474 |
$143K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
812 |
474 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,972 |
1,817 |
$138K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,761 |
1,216 |
$87K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
463 |
365 |
$84K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
356 |
166 |
$24K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
43 |
41 |
$22K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
48 |
12 |
$16K |
| 96415 |
|
1,537 |
1,049 |
$14K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
58 |
$3K |
| 99254 |
|
13 |
13 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,341 |
857 |
$1K |
| 95018 |
|
27 |
27 |
$884.04 |
| 95076 |
|
31 |
28 |
$440.09 |
| 99443 |
|
32 |
24 |
$0.00 |