| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,193 |
20,398 |
$900K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
7,055 |
5,125 |
$339K |
| 99215 |
Prolong outpt/office vis |
4,612 |
3,877 |
$233K |
| 80053 |
Comprehensive metabolic panel |
14,601 |
10,077 |
$132K |
| 99233 |
Prolong inpt eval add15 m |
2,830 |
1,163 |
$126K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,982 |
12,326 |
$121K |
| 99223 |
Prolong inpt eval add15 m |
1,057 |
1,012 |
$99K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,820 |
1,417 |
$88K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,699 |
2,004 |
$72K |
| 36415 |
Collection of venous blood by venipuncture |
18,944 |
13,571 |
$60K |
| J1447 |
Injection, tbo-filgrastim, 1 microgram |
282 |
140 |
$49K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,504 |
3,009 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,455 |
1,272 |
$38K |
| 96367 |
|
1,845 |
1,312 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,729 |
2,456 |
$27K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,130 |
3,220 |
$22K |
| J1453 |
Injection, fosaprepitant, 1 mg |
255 |
192 |
$18K |
| 99205 |
Prolong outpt/office vis |
130 |
125 |
$10K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
302 |
222 |
$10K |
| 82728 |
|
439 |
424 |
$5K |
| 83615 |
|
818 |
716 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
58 |
$4K |
| 84466 |
|
343 |
331 |
$4K |
| 82378 |
|
218 |
176 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
54 |
53 |
$3K |
| 96417 |
|
81 |
60 |
$3K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
2,890 |
2,306 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,596 |
2,385 |
$2K |
| 96415 |
|
131 |
75 |
$2K |
| 0001A |
|
71 |
68 |
$2K |
| 83540 |
|
343 |
331 |
$2K |
| 0002A |
|
57 |
57 |
$2K |
| 85027 |
|
263 |
249 |
$1K |
| J1756 |
Injection, iron sucrose, 1 mg |
37 |
24 |
$1K |
| 85652 |
|
353 |
333 |
$931.33 |
| 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) |
293 |
274 |
$830.41 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
36 |
25 |
$738.14 |
| 99221 |
|
18 |
17 |
$533.97 |
| 96368 |
|
15 |
12 |
$162.24 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$67.16 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
30 |
13 |
$55.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
47 |
40 |
$48.90 |
| 85651 |
|
13 |
13 |
$35.66 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
37 |
25 |
$29.04 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
45 |
27 |
$18.94 |