| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0490 |
Injection, belimumab, 10 mg |
218 |
121 |
$290K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,723 |
5,242 |
$156K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,361 |
1,985 |
$63K |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
100 |
51 |
$62K |
| 80053 |
Comprehensive metabolic panel |
1,965 |
1,857 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,964 |
1,858 |
$17K |
| 76881 |
|
408 |
350 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
857 |
782 |
$14K |
| 96415 |
|
1,112 |
893 |
$12K |
| 86140 |
|
1,910 |
1,812 |
$9K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
753 |
605 |
$8K |
| 85651 |
|
1,901 |
1,806 |
$7K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
761 |
585 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
135 |
131 |
$4K |
| 73130 |
|
519 |
237 |
$3K |
| 73100 |
|
298 |
134 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
25 |
25 |
$1K |
| 36000 |
|
69 |
63 |
$1K |
| 86160 |
|
51 |
50 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
649 |
623 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
159 |
148 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
454 |
422 |
$960.04 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
90 |
80 |
$246.02 |
| 77080 |
|
12 |
12 |
$134.00 |
| 81003 |
|
12 |
12 |
$36.00 |
| 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) |
72 |
71 |
$0.00 |