| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0129 |
Injection, abatacept, 10 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) |
206 |
181 |
$148K |
| J0717 |
Injection, certolizumab pegol, 1 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) |
13 |
12 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
445 |
414 |
$4K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
288 |
256 |
$451.47 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
780 |
640 |
$133.47 |
| G8482 |
Influenza immunization administered or previously received |
73 |
69 |
$0.00 |
| 96401 |
|
13 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
249 |
232 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
45 |
41 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
85 |
79 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
176 |
161 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
83 |
77 |
$0.00 |
| A4223 |
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
58 |
50 |
$0.00 |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
138 |
121 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
12 |
12 |
$0.00 |
| 1036F |
|
319 |
293 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
342 |
315 |
$0.00 |
| 1111F |
|
390 |
324 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
88 |
78 |
$0.00 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
13 |
12 |
$0.00 |
| 36000 |
|
92 |
78 |
$0.00 |