| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38,756 |
31,534 |
$1.98M |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
28,695 |
16,745 |
$1.87M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
115,331 |
80,429 |
$703K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,487 |
11,260 |
$477K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
14,226 |
8,029 |
$260K |
| 96367 |
|
5,939 |
3,092 |
$154K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,183 |
2,348 |
$121K |
| 80053 |
Comprehensive metabolic panel |
18,642 |
13,351 |
$98K |
| 99215 |
Prolong outpt/office vis |
1,323 |
1,050 |
$93K |
| 77427 |
|
772 |
405 |
$83K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
2,977 |
1,612 |
$74K |
| 36415 |
Collection of venous blood by venipuncture |
57,191 |
43,357 |
$70K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,193 |
4,723 |
$47K |
| 96417 |
|
1,038 |
548 |
$37K |
| J1750 |
Injection, iron dextran, 50 mg |
158 |
135 |
$30K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
2,783 |
2,510 |
$19K |
| 77336 |
|
349 |
183 |
$17K |
| 99205 |
Prolong outpt/office vis |
119 |
113 |
$14K |
| J0185 |
Injection, aprepitant, 1 mg |
91 |
62 |
$14K |
| 77014 |
|
185 |
25 |
$13K |
| 82728 |
|
1,928 |
1,578 |
$12K |
| 99442 |
|
394 |
335 |
$11K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
296 |
117 |
$10K |
| 83550 |
|
1,927 |
1,594 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
77 |
$8K |
| 83540 |
|
1,926 |
1,593 |
$6K |
| 99441 |
|
270 |
253 |
$6K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
8,393 |
4,344 |
$6K |
| 82607 |
|
468 |
332 |
$4K |
| 82746 |
|
398 |
281 |
$3K |
| 99000 |
|
3,914 |
3,193 |
$3K |
| 99443 |
|
38 |
35 |
$2K |
| 77338 |
|
17 |
12 |
$2K |
| J3490 |
Unclassified drugs |
240 |
118 |
$2K |
| 83615 |
|
887 |
744 |
$2K |
| J0640 |
Injection, leucovorin calcium, per 50 mg |
132 |
65 |
$2K |
| 77334 |
|
16 |
12 |
$2K |
| J9190 |
Injection, fluorouracil, 500 mg |
126 |
77 |
$2K |
| 96411 |
|
33 |
24 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
129 |
81 |
$1K |
| 77300 |
|
14 |
12 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
20 |
13 |
$937.10 |
| 82378 |
|
109 |
62 |
$886.99 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
54 |
14 |
$762.38 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
171 |
104 |
$635.28 |
| 96415 |
|
18 |
14 |
$539.57 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$526.72 |
| 96402 |
|
28 |
24 |
$491.19 |
| 84550 |
|
291 |
231 |
$467.44 |
| 85046 |
|
181 |
171 |
$457.51 |
| 84100 |
|
262 |
212 |
$449.13 |
| 90756 |
|
16 |
15 |
$330.14 |
| 96368 |
|
21 |
14 |
$312.01 |
| 84439 |
|
55 |
42 |
$311.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$141.87 |
| 82947 |
|
44 |
38 |
$140.55 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
199 |
110 |
$128.18 |
| 82565 |
|
44 |
38 |
$118.76 |
| 84295 |
|
44 |
38 |
$111.74 |
| 82435 |
|
44 |
38 |
$83.78 |
| 84132 |
|
44 |
38 |
$83.78 |
| 84520 |
|
44 |
38 |
$72.02 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
100 |
61 |
$52.13 |