| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,166 |
721 |
$54K |
| 98960 |
|
1,220 |
731 |
$23K |
| Q0081 |
Infusion therapy, using other than chemotherapeutic drugs, per visit |
861 |
515 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,719 |
984 |
$9K |
| 99205 |
Prolong outpt/office vis |
43 |
42 |
$5K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
739 |
475 |
$5K |
| 99215 |
Prolong outpt/office vis |
104 |
70 |
$5K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
44 |
38 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
45 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
58 |
27 |
$2K |
| A4550 |
Surgical trays |
193 |
88 |
$2K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
125 |
60 |
$2K |
| 36591 |
|
144 |
71 |
$980.70 |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
1,198 |
734 |
$149.31 |
| A4215 |
Needle, sterile, any size, each |
1,090 |
677 |
$45.75 |
| A4245 |
Alcohol wipes, per box |
54 |
32 |
$45.03 |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
343 |
237 |
$15.06 |
| J7050 |
Infusion, normal saline solution, 250 cc |
914 |
610 |
$14.61 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
228 |
103 |
$13.53 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
655 |
418 |
$3.45 |
| J1756 |
Injection, iron sucrose, 1 mg |
191 |
88 |
$0.98 |
| A4300 |
Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access |
78 |
38 |
$0.00 |