| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36471 |
|
365 |
197 |
$45K |
| 93971 |
|
646 |
339 |
$40K |
| 76942 |
|
520 |
272 |
$32K |
| J3490 |
Unclassified drugs |
831 |
278 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
394 |
213 |
$6K |
| 93970 |
|
42 |
38 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
26 |
26 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
118 |
63 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
22 |
12 |
$643.72 |
| J7070 |
Infusion, d5w, 1000 cc |
110 |
51 |
$371.65 |
| 93922 |
|
14 |
12 |
$316.41 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
110 |
51 |
$262.32 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14 |
13 |
$221.24 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
537 |
282 |
$12.51 |