| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99310 |
Prolong nursin fac eval 15m |
4,879 |
3,565 |
$183K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,730 |
8,293 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,212 |
4,143 |
$75K |
| 96367 |
|
667 |
295 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,680 |
2,979 |
$16K |
| 99233 |
Prolong inpt eval add15 m |
493 |
131 |
$9K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
354 |
104 |
$7K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
627 |
159 |
$7K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
352 |
163 |
$5K |
| 99215 |
Prolong outpt/office vis |
226 |
216 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
239 |
239 |
$4K |
| 99490 |
Ccm add 20min |
359 |
359 |
$2K |
| 80053 |
Comprehensive metabolic panel |
235 |
148 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
561 |
353 |
$2K |
| 99349 |
|
113 |
112 |
$1K |
| 96415 |
|
77 |
36 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
90 |
90 |
$982.88 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
136 |
107 |
$957.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
401 |
377 |
$856.99 |
| 99336 |
|
26 |
24 |
$736.31 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
160 |
49 |
$715.68 |
| 99439 |
|
276 |
276 |
$574.55 |
| 83735 |
|
130 |
79 |
$532.93 |
| 84100 |
|
181 |
116 |
$457.01 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
60 |
25 |
$396.18 |
| 99318 |
|
13 |
13 |
$392.00 |
| 90658 |
|
29 |
29 |
$356.00 |
| 84550 |
|
137 |
88 |
$307.77 |
| 36415 |
Collection of venous blood by venipuncture |
2,042 |
1,652 |
$259.30 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
21 |
12 |
$175.20 |
| 82150 |
|
36 |
26 |
$109.25 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
321 |
316 |
$31.59 |
| 99406 |
|
14 |
14 |
$30.19 |
| 99000 |
|
17 |
14 |
$17.03 |
| 3074F |
|
236 |
233 |
$0.00 |
| 3079F |
|
18 |
18 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |
| 3078F |
|
255 |
250 |
$0.00 |
| 99442 |
|
52 |
51 |
$0.00 |