| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,906 |
1,904 |
$59K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,852 |
1,257 |
$22K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,370 |
1,266 |
$20K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
164 |
163 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
519 |
519 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,179 |
1,000 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,295 |
1,046 |
$3K |
| 96367 |
|
519 |
440 |
$3K |
| J7050 |
Infusion, normal saline solution, 250 cc |
2,917 |
2,444 |
$887.29 |
| 96415 |
|
213 |
187 |
$866.39 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
30 |
$510.59 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
29 |
24 |
$329.64 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
43 |
26 |
$217.32 |
| 64450 |
|
12 |
12 |
$165.93 |
| 64405 |
|
12 |
12 |
$158.31 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
276 |
207 |
$97.03 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
257 |
215 |
$88.54 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
267 |
215 |
$85.33 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
107 |
88 |
$26.41 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
205 |
205 |
$0.00 |