| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
5,668 |
3,065 |
$244K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,321 |
3,067 |
$165K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,253 |
2,110 |
$134K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,247 |
3,838 |
$33K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
3,050 |
1,605 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
137 |
136 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
193 |
192 |
$16K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
533 |
315 |
$13K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
603 |
350 |
$9K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,078 |
601 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
10,134 |
5,460 |
$3K |
| J7050 |
Infusion, normal saline solution, 250 cc |
5,727 |
3,052 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
153 |
128 |
$1K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
21 |
13 |
$570.18 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
18 |
13 |
$477.64 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
26 |
24 |
$36.63 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
21 |
14 |
$1.22 |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
90 |
67 |
$0.60 |
| 1160F |
|
86 |
81 |
$0.00 |
| 1159F |
|
27 |
27 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 3074F |
|
40 |
39 |
$0.00 |