| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,951 |
6,529 |
$291K |
| J1437 |
Injection, ferric derisomaltose, 10 mg |
75 |
57 |
$137K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,556 |
727 |
$85K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,863 |
10,372 |
$61K |
| Q5106 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units |
525 |
276 |
$50K |
| 99215 |
Prolong outpt/office vis |
665 |
473 |
$41K |
| 99205 |
Prolong outpt/office vis |
362 |
331 |
$38K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,478 |
2,632 |
$30K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,317 |
868 |
$30K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,111 |
276 |
$26K |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
60 |
39 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
803 |
694 |
$17K |
| 96367 |
|
867 |
414 |
$16K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
419 |
197 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
6,297 |
4,971 |
$5K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
45 |
25 |
$3K |
| 80053 |
Comprehensive metabolic panel |
426 |
291 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
36 |
27 |
$793.72 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
944 |
430 |
$270.82 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,219 |
957 |
$180.78 |
| 96415 |
|
20 |
13 |
$114.72 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
114 |
63 |
$34.23 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
21 |
12 |
$4.95 |