| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,226 |
3,237 |
$135K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,215 |
811 |
$81K |
| 80053 |
Comprehensive metabolic panel |
3,033 |
2,196 |
$32K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
901 |
373 |
$19K |
| 96367 |
|
664 |
203 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
651 |
577 |
$17K |
| 99215 |
Prolong outpt/office vis |
422 |
295 |
$16K |
| J1756 |
Injection, iron sucrose, 1 mg |
396 |
135 |
$15K |
| 85027 |
|
2,110 |
1,463 |
$12K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
402 |
135 |
$12K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
334 |
138 |
$8K |
| 85007 |
|
2,102 |
1,463 |
$7K |
| 83615 |
|
1,220 |
994 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
714 |
608 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
525 |
322 |
$4K |
| 83735 |
|
298 |
191 |
$2K |
| 82728 |
|
215 |
208 |
$2K |
| 83550 |
|
201 |
195 |
$2K |
| 83540 |
|
201 |
194 |
$1K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,231 |
464 |
$815.23 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$746.42 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
16 |
13 |
$744.08 |
| 82607 |
|
28 |
28 |
$336.00 |
| 82746 |
|
29 |
29 |
$320.88 |
| 85045 |
|
120 |
112 |
$315.93 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
317 |
116 |
$261.09 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
111 |
76 |
$179.54 |
| J3490 |
Unclassified drugs |
33 |
14 |
$26.53 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$3.99 |