| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,117 |
5,502 |
$286K |
| 99205 |
Prolong outpt/office vis |
340 |
313 |
$33K |
| J7050 |
Infusion, normal saline solution, 250 cc |
940 |
474 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
212 |
174 |
$5K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
75 |
38 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
48 |
25 |
$3K |
| 99070 |
|
45 |
38 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
39 |
$496.54 |
| 96367 |
|
24 |
12 |
$226.32 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
25 |
12 |
$102.09 |
| 96523 |
|
28 |
24 |
$43.39 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
26 |
12 |
$16.98 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
24 |
14 |
$3.62 |