| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,102 |
2,238 |
$286K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,013 |
561 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
303 |
251 |
$26K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
437 |
215 |
$11K |
| J3315 |
Injection, triptorelin pamoate, 3.75 mg |
44 |
37 |
$6K |
| 96415 |
|
133 |
77 |
$6K |
| 0064A |
|
42 |
42 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
30 |
$2K |
| 96417 |
|
19 |
13 |
$2K |
| 96401 |
|
42 |
37 |
$2K |
| 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) |
79 |
64 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
57 |
$1K |
| 0012A |
|
25 |
25 |
$907.12 |
| 90688 |
|
44 |
44 |
$851.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$396.42 |
| J7050 |
Infusion, normal saline solution, 250 cc |
264 |
143 |
$281.74 |
| 0011A |
|
14 |
14 |
$237.16 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
206 |
118 |
$195.74 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
273 |
124 |
$136.96 |