| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,037 |
4,375 |
$145K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,971 |
1,198 |
$107K |
| 96367 |
|
2,184 |
838 |
$43K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,541 |
1,075 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,883 |
1,747 |
$31K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
276 |
120 |
$23K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
934 |
428 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
336 |
329 |
$18K |
| 80053 |
Comprehensive metabolic panel |
1,480 |
1,160 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,632 |
1,846 |
$13K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
311 |
135 |
$6K |
| Q0138 |
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) |
24 |
14 |
$3K |
| 83615 |
|
564 |
436 |
$3K |
| 85027 |
|
425 |
347 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,982 |
1,462 |
$2K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,987 |
1,287 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
119 |
49 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
269 |
228 |
$1K |
| 85007 |
|
429 |
347 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
953 |
365 |
$690.95 |
| 83550 |
|
36 |
36 |
$303.64 |
| J3490 |
Unclassified drugs |
450 |
199 |
$238.97 |
| 96415 |
|
16 |
12 |
$229.33 |
| 83540 |
|
36 |
36 |
$226.54 |
| 82728 |
|
24 |
24 |
$197.14 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$151.03 |
| 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) |
33 |
29 |
$108.75 |