| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96401 |
|
14,436 |
4,893 |
$974K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,522 |
6,309 |
$554K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,063 |
3,537 |
$418K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,424 |
2,258 |
$232K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,641 |
1,566 |
$214K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
648 |
645 |
$95K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
543 |
210 |
$44K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,065 |
1,356 |
$41K |
| 99490 |
Ccm add 20min |
835 |
821 |
$29K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
384 |
379 |
$28K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
168 |
89 |
$12K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
301 |
123 |
$8K |
| 20611 |
|
109 |
63 |
$7K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
133 |
133 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
259 |
109 |
$6K |
| 96415 |
|
215 |
206 |
$6K |
| 11901 |
|
50 |
24 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,982 |
3,743 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
995 |
637 |
$1K |
| 80053 |
Comprehensive metabolic panel |
144 |
144 |
$1K |
| J9260 |
Injection, methotrexate sodium, 50 mg |
1,134 |
413 |
$978.92 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
58 |
27 |
$936.64 |
| 83690 |
|
185 |
185 |
$773.71 |
| 80061 |
Lipid panel |
118 |
118 |
$693.96 |
| 81002 |
|
449 |
304 |
$652.36 |
| 83735 |
|
180 |
180 |
$617.04 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
191 |
190 |
$608.46 |
| 82150 |
|
172 |
172 |
$570.73 |
| 82550 |
|
142 |
142 |
$552.59 |
| 84100 |
|
168 |
168 |
$520.38 |
| 84550 |
|
143 |
143 |
$483.36 |
| 86140 |
|
138 |
138 |
$461.64 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
433 |
209 |
$420.28 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
426 |
294 |
$401.22 |
| 86160 |
|
26 |
26 |
$354.74 |
| 86431 |
|
84 |
84 |
$341.38 |
| 86060 |
|
66 |
66 |
$286.26 |
| 85651 |
|
154 |
154 |
$278.43 |
| 1111F |
|
2,130 |
1,740 |
$228.43 |
| 1159F |
|
2,080 |
1,700 |
$151.98 |
| 1160F |
|
2,069 |
1,688 |
$107.27 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
165 |
159 |
$76.34 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
121 |
60 |
$50.45 |
| J7050 |
Infusion, normal saline solution, 250 cc |
73 |
64 |
$41.73 |
| J9250 |
Methotrexate sodium, 5 mg |
8,616 |
3,275 |
$25.15 |
| 76981 |
|
12 |
12 |
$19.73 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$1.36 |
| J0135 |
Injection, adalimumab, 20 mg |
748 |
466 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
479 |
473 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
137 |
137 |
$0.00 |
| J0490 |
Injection, belimumab, 10 mg |
881 |
836 |
$0.00 |
| J1438 |
Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
32 |
12 |
$0.00 |