| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
293 |
264 |
$353K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
830 |
764 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,313 |
1,301 |
$36K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,163 |
408 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
462 |
427 |
$18K |
| 98928 |
|
432 |
378 |
$11K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
270 |
255 |
$9K |
| 96415 |
|
515 |
473 |
$6K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
216 |
75 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
50 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
52 |
$3K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$955.62 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
17 |
$714.65 |
| 20610 |
|
15 |
13 |
$317.84 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
25 |
13 |
$31.30 |
| J3490 |
Unclassified drugs |
146 |
121 |
$3.02 |