| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
987 |
782 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$1K |
| 76881 |
|
97 |
38 |
$761.26 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
19 |
$726.04 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
215 |
178 |
$380.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
712 |
316 |
$79.95 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
476 |
330 |
$35.47 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
208 |
167 |
$14.27 |
| 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) |
151 |
129 |
$8.04 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
59 |
27 |
$3.16 |