| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,323 |
2,072 |
$170K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,973 |
932 |
$127K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,974 |
933 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,258 |
597 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
93 |
$11K |
| J3415 |
Injection, pyridoxine hcl, 100 mg |
1,005 |
418 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
492 |
214 |
$7K |
| J0610 |
Injection, calcium gluconate (fresenius kabi), per 10 ml |
725 |
420 |
$6K |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
1,668 |
800 |
$5K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,450 |
690 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,664 |
800 |
$1K |