| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0600 |
Injection, edetate calcium disodium, up to 1000 mg |
3,956 |
1,130 |
$3.86M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,154 |
12,896 |
$996K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,588 |
5,988 |
$433K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,892 |
3,858 |
$99K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,495 |
995 |
$65K |
| 95957 |
|
394 |
358 |
$40K |
| 95816 |
|
397 |
358 |
$39K |
| 93923 |
|
541 |
373 |
$39K |
| J1071 |
Injection, testosterone cypionate, 1 mg |
8,612 |
2,653 |
$30K |
| 90901 |
|
3,313 |
849 |
$26K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
250 |
210 |
$21K |
| 93000 |
|
2,017 |
1,520 |
$18K |
| 95923 |
|
291 |
240 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
123 |
106 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
137 |
115 |
$10K |
| 96138 |
|
377 |
345 |
$7K |
| 95961 |
|
53 |
51 |
$7K |
| 93880 |
|
89 |
83 |
$7K |
| 95921 |
|
270 |
221 |
$6K |
| 95924 |
|
103 |
95 |
$6K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,679 |
460 |
$5K |
| 76706 |
|
103 |
98 |
$4K |
| 90674 |
|
156 |
137 |
$2K |
| 93040 |
|
387 |
338 |
$2K |
| 82962 |
|
1,311 |
1,062 |
$2K |
| 95800 |
|
18 |
13 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
22 |
13 |
$1K |
| 99457 |
|
211 |
147 |
$1K |
| 99458 |
|
168 |
123 |
$1K |
| 80305 |
|
227 |
170 |
$992.80 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$845.79 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
31 |
25 |
$693.80 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
564 |
366 |
$532.68 |
| 99454 |
|
69 |
37 |
$467.27 |
| 96102 |
|
14 |
13 |
$369.60 |
| 99406 |
|
23 |
12 |
$114.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
118 |
99 |
$102.49 |
| G0008 |
Administration of influenza virus vaccine |
46 |
39 |
$0.00 |